Downloads: 7 | Views: 198 | Weekly Hits: ⮙7 | Monthly Hits: ⮙7
Research Paper | Anaesthesiology | India | Volume 13 Issue 6, June 2024 | Popularity: 6.4 / 10
Assessment of Postoperative Opioid - Free Analgesia in Total Knee Replacement Patients: An Observational Study of Ultrasound - Guided Single Injection 4 - in - 1 Nerve Block
Dr. Sai Om Mishra, Dr. Deepinder Kaur, Dr. Narayan Acharya, Dr. Ritwik Dash
Abstract: Introduction: Lower limb surgeries necessitate optimal outcomes with minimal morbidity, highlighting the importance of central neuraxial and regional anesthesia techniques for reducing perioperative complications. Total Knee Replacement (TKR) surgery, vital for addressing advanced knee conditions, underscores the need for effective postoperative pain management beyond traditional opioid reliance. Methods: A prospective observational study was done. Eight ASA 1 and 2 TKR patients received an USG - guided 4in1 block. SAB with Inj Bupivacaine Heavy 0.5% was administered, and an epidural catheter was inserted for supplementary analgesia. Patients were positioned supine with the ipsilateral leg in Frog leg position. A high - frequency probe identified the vastus medialis, followed by visualization of the superficial femoral artery and genicular descending artery. Nerve to vastus medialis was targeted using PNS with 5ml mixture of Inj Bupivacaine 0.25% and Inj Dexmedetomedine. Subsequently, 35ml of the mixture was administered in - plane to the perivascular region, ensuring arterial displacement. Results: After 24 hours, patients reported pain scores ? 5, prompting IV Inj Paracetamol (15mg/kg). None required epidural or opioid rescue analgesia. Ambulation ranged from 8 to 12 hours post - procedure. Conclusion: The study indicates promising efficacy of USG - guided 4in1 block for TKR patients, yet highlights the necessity for further extensive research to validate and refine its long - term efficacy and safety.
Keywords: Lower limb surgeries, anesthesia techniques, Total Knee Replacement, postoperative pain management, USG - guided 4in1 block
Edition: Volume 13 Issue 6, June 2024
Pages: 207 - 209
DOI: https://www.doi.org/10.21275/SR24601171643
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 0
Research Paper, Anaesthesiology, India, Volume 11 Issue 5, May 2022
Pages: 1191 - 1195Comparative Study of Intravenous Fentanyl Vs Nebulisation Fentanyl for Postoperative Analgesia in Patients Undergoing Lower Limb Surgeries - A Randomised Controlled Study
Dr. Thillai Arasu, Dr. Pradeep Charan, Dr. Arun Satish, Dr. S. P. Chittora
Downloads: 0
Analysis Study Research Paper, Anaesthesiology, India, Volume 12 Issue 3, March 2023
Pages: 1791 - 1794A Study on Factors Determining the Difficulty in Subarachnoid Block in Patients Undergoing Lower Limb Surgeries
P. Greeshma Teja, Guru Venkata Siva Prasad .B, Anusha M. S., P. Mounika, Aswin M
Downloads: 1
Research Paper, Anaesthesiology, India, Volume 11 Issue 4, April 2022
Pages: 735 - 740Comparative Evaluation of 0.75% Ropivacaine with Ropivacaione 0.75% and Dexmedetomidine in Combined Peripheral Nerve Stimulator Guided Sciatic-Femoral Nerve Block for Lower Limb Surgeries
Dr. D. S. Negi, Dr. Atul Kumar Singh Patel
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Comparative Studies, Anaesthesiology, India, Volume 12 Issue 2, February 2023
Pages: 928 - 936Comparison of Effect of Preservative Free Ketamine and Magnesium Sulphate used as an Adjuvant to 0.5 % Hyperbaric Bupivacaine in Orthopaedic Lower Limb Surgeries under Spinal Anaesthesia - A Prospective Double Blind Randomised Control Study
Pratheev E, Arpita Bhargava, Ritushree Sharma
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Study Papers, Anaesthesiology, India, Volume 12 Issue 2, February 2023
Pages: 1427 - 1432Safety and Efficacy of Combined Lumbar Plexus, Sciatic Nerve, Femoral Nerve Blocks in Failed Spinal Anaesthesia for Lower Limb Surgeries: A Prospective Clinical Study
Dr. Katti Lavanya, Dr. A. Naveen Kumar, Dr. T. Madhusudhan, Dr. Murali Prabhakar