Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2016
Incidence of Delayed Recovery from Femoral Nerve Block in Total Knee Arthroplasty.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chinachoti Thitima, Makarasara Wattanan
Аннотация
OBJECTIVE: Femoral nerve block has been proven as an effective analgesia for total knee arthroplasty (TKA). Delayed recovery from nerve block can result in serious complication during postoperative period. This prospective, single-center, observational study investigated the incidence in delayed recovery from femoral nerve block more than 24 hours postoperatively.
MATERIAL AND METHOD: Two hundred and forty patients with femoral nerve block as part of anesthesia plan for elective unilateral TKA were recruited into study. Participants were assessed for sensory or motor impairment lasting longer than 24 hours post operation. Factors associated with delayed recovery from femoral nerve block were analyzed.
RESULTS: Five patients (incidence = 2.08%) reported sensory or motor impairment more than 24 hours post operation. All of the patients could ambulate within 4 days post operation without permanent nerve injury or serious complication. Higher dose of local anesthetic agent using for femoral nerve block showed association with the delayed recovery (p-value = 0.01).
CONCLUSION: This study demonstrated 2.08% incidence in delayed recovery from femoral nerve block. High concentration and dose of local anesthetic agent may lead to fall during early ambulatory period.
MATERIAL AND METHOD: Two hundred and forty patients with femoral nerve block as part of anesthesia plan for elective unilateral TKA were recruited into study. Participants were assessed for sensory or motor impairment lasting longer than 24 hours post operation. Factors associated with delayed recovery from femoral nerve block were analyzed.
RESULTS: Five patients (incidence = 2.08%) reported sensory or motor impairment more than 24 hours post operation. All of the patients could ambulate within 4 days post operation without permanent nerve injury or serious complication. Higher dose of local anesthetic agent using for femoral nerve block showed association with the delayed recovery (p-value = 0.01).
CONCLUSION: This study demonstrated 2.08% incidence in delayed recovery from femoral nerve block. High concentration and dose of local anesthetic agent may lead to fall during early ambulatory period.