In-plane three-step needle insertion technique for ultrasound-guided continuous femoral nerve block after total knee arthroplasty : a retrospective review of 488 cases
DC Field | Value | Language |
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dc.contributor.author | Shin, Hyeon Ju | - |
dc.contributor.author | Soh, Jung Sub | - |
dc.contributor.author | Lim, Hyong Hwan | - |
dc.contributor.author | Joo, Bumjoon | - |
dc.contributor.author | Lee, Hye Won | - |
dc.contributor.author | Lim, Hae Ja | - |
dc.date.accessioned | 2021-09-03T16:23:26Z | - |
dc.date.available | 2021-09-03T16:23:26Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2016-12 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/86708 | - |
dc.description.abstract | Background: Continuous femoral nerve block (CFNB) improves postoperative analgesia after total knee arthroplasty (TKA). The aim of this study was to investigate the clinical efficacy and complications of our in-plane three-step needle insertion technique that was devised to reduce the risk of direct femoral nerve injury during CFNB in anesthetized patients. Methods: This retrospective study included 488 patients who had undergone TKA. Ultrasound (US)-guided CFNB was performed under general or spinal anesthesia using an in-plane, three-step needle insertion technique. The success rate and difficulties of catheter placement, clinical efficacy of analgesia, and complications were recorded. Results: Femoral catheters were placed with a 100% success rate. In 488 patients, real-time US imaging revealed easy separation of the fascia iliaca and the femoral nerve following injection of local anesthetic through a Tuohy needle. Verbal numerical rating scale pain scores (0-10) were 2.0 +/- 1.2, 3.5 +/- 1.9, 3.2 +/- 1.7, 2.9 +/- 1.3, and 2.5 +/- 1.1 at 1, 6, 12, 24 and 48 h postoperatively. No femoral hematoma, femoral abscess, or neurologic complications, including paresthesia or neurologic deficits, were observed during the 8-week follow-up period. Conclusions: This retrospective study suggests that an in-plane three-step needle insertion technique for CFNB may reduce the risk of femoral nerve injury in anesthetized patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN SOC ANESTHESIOLOGISTS | - |
dc.subject | REGIONAL ANESTHESIA | - |
dc.subject | NEUROLOGICAL COMPLICATIONS | - |
dc.subject | INTRANEURAL INJECTION | - |
dc.subject | CHILDREN | - |
dc.title | In-plane three-step needle insertion technique for ultrasound-guided continuous femoral nerve block after total knee arthroplasty : a retrospective review of 488 cases | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shin, Hyeon Ju | - |
dc.contributor.affiliatedAuthor | Lee, Hye Won | - |
dc.identifier.doi | 10.4097/kjae.2016.69.6.587 | - |
dc.identifier.scopusid | 2-s2.0-85002939553 | - |
dc.identifier.wosid | 000390243400008 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, v.69, no.6, pp.587 - 591 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.citation.title | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.citation.volume | 69 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 587 | - |
dc.citation.endPage | 591 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.identifier.kciid | ART002168155 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.subject.keywordPlus | REGIONAL ANESTHESIA | - |
dc.subject.keywordPlus | NEUROLOGICAL COMPLICATIONS | - |
dc.subject.keywordPlus | INTRANEURAL INJECTION | - |
dc.subject.keywordPlus | CHILDREN | - |
dc.subject.keywordAuthor | Arthroplasty | - |
dc.subject.keywordAuthor | Catheters | - |
dc.subject.keywordAuthor | Femoral nerve | - |
dc.subject.keywordAuthor | Knee | - |
dc.subject.keywordAuthor | Ultrasonography | - |
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