Acute Postoperative Pain Clinical Trial
Official title:
COMPARISON OF CONTINUOUS FEMORAL NERVE BLOCK AND PATIENT CONTROLLED EPIDURAL ANALGESIA AFTER TOTAL KNEE ARTHROPLASTY
Total knee prosthetic replacement causes severe postoperative pain. Various analgesic techniques have been used in pain control. Comparison of epidural and femoral nerve block is lacking, furthermore effect on chronic pain is unclear. The investigators aimed to compare the effects of epidural and femoral block on acute and chronic postoperative pain.
Background and aim Total knee prosthetic replacement causes severe postoperative pain.
Various analgesic techniques have been used in pain control. Comparison of epidural and
femoral nerve block is lacking, furthermore effect on chronic pain is unclear. The
investigators aimed to compare the effects of epidural and femoral block on acute and
chronic postoperative pain.
Methods The study was of randomized, prospective, and double-blind design and was conducted
with 80 patients who had undergone total knee prosthetic replacement surgery with the
insertion of a femoral nerve block or epidural block catheter to initiate postoperative
analgesia. One-sided spinal anesthesia was performed in all the patients. Postoperative pain
control was achieved with the administration via catheter using bupivacaine for
patient-controlled analgesia. Acute postoperative pain was evaluated in the first 24 hours
and chronic postoperative pain in the 1st and 3rd months following surgery. The
anxiety/depression scale was used to assess anxiety and depression, the SF 12 test was used
to evaluate quality of life, and the DN4 test was employed at patient visits at the 1st and
3rd months.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
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