Back to Search
Start Over
Comparison of the catheter-technique psoas compartment block and the epidural block for analgesia in partial hip replacement surgery.
- Source :
-
Acta anaesthesiologica Scandinavica [Acta Anaesthesiol Scand] 2003 Jan; Vol. 47 (1), pp. 30-6. - Publication Year :
- 2003
-
Abstract
- Background: The aim of this study was to compare the intra- and postoperative analgesia provided by the catheter-technique psoas compartment block and the epidural block in hip-fractured patients. We also compared hemodynamic stability, motor blockade, ease of performing the technique, and complications.<br />Methods: Thirty patients who underwent partial hip replacement surgery were included in this prospective single-blind study. Subjects were randomly assigned to Group E (n=15; general anesthesia plus epidural block with 15 ml of 0.5% bupivacaine) or Group P (n=15; general anesthesia plus psoas compartment block with 30 ml of 0.5% bupivacaine). Hemodynamic parameters were recorded at 10-min intervals intraoperatively. Regional anesthesia procedure time, number of attempts at block, intraoperative blood loss, and need for supplemental fentanyl and/or ephedrine were noted. Postoperatively, a patient-controlled analgesia device delivered an infusion and boluses of bupivacaine/fentanyl. Pain, motor blockade, ambulation time, patient satisfaction with analgesia, and complications were recorded postsurgery.<br />Results: The epidural required significantly more attempts than the psoas block, thus procedure time was longer in this group. Group E also showed significantly greater drops in mean arterial blood pressure from baseline at 30, 40 and 50 min after the start of general anesthesia. Significantly more Group E patients required epinephrine supplementation. The groups were similar regarding pain scores (at rest and on movement) and patient satisfaction, but Group E had higher motor blockade scores, longer ambulation time, and significantly more complications.<br />Conclusion: The continuous psoas compartment block provides excellent intraoperative and postoperative analgesia with a low incidence of complications for partial hip replacement surgery
- Subjects :
- Aged
Analgesia, Patient-Controlled
Analgesics, Opioid administration & dosage
Analgesics, Opioid therapeutic use
Anesthetics, Local administration & dosage
Anesthetics, Local therapeutic use
Blood Loss, Surgical
Bupivacaine administration & dosage
Bupivacaine therapeutic use
Catheterization
Female
Fentanyl administration & dosage
Fentanyl therapeutic use
Hemodynamics drug effects
Hip Fractures surgery
Humans
Male
Middle Aged
Orthopedic Procedures
Pain, Postoperative drug therapy
Prospective Studies
Single-Blind Method
Analgesia, Epidural adverse effects
Arthroplasty, Replacement, Hip
Nerve Block adverse effects
Psoas Muscles
Subjects
Details
- Language :
- English
- ISSN :
- 0001-5172
- Volume :
- 47
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Acta anaesthesiologica Scandinavica
- Publication Type :
- Academic Journal
- Accession number :
- 12492794
- Full Text :
- https://doi.org/10.1034/j.1399-6576.2003.470106.x