Asset Details
Do you wish to reserve the book?
Comparison of migration rates between traditional and tunneled adductor canal block catheters: a randomized controlled trial
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Comparison of migration rates between traditional and tunneled adductor canal block catheters: a randomized controlled trial
Do you wish to request the book?
Comparison of migration rates between traditional and tunneled adductor canal block catheters: a randomized controlled trial
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Comparison of migration rates between traditional and tunneled adductor canal block catheters: a randomized controlled trial
2024
Overview
IntroductionTotal knee arthroplasty is associated with significant postoperative pain. Continuous adductor canal blocks via an inserted adductor canal catheter are effective analgesia interventions with the advantage of decreasing quadriceps weakness and the potential of extending the analgesic effect. The classical adductor canal catheter insertion technique may have a high likelihood of catheter dislodgement out of the canal. The interfascial plane between the sartorius muscle and femoral artery (ISAFE) approach has the potential of decreasing the adductor canal catheter migration. The purpose of this study was to evaluate the incidence of catheter dislodgment to outside the adductor canal, for ISAFE and classical approaches. We hypothesized that ISAFE approach would result in a lower dislodgment rate.MethodsNinety-seven patients for unilateral total knee arthroplasty were included and randomized to either ISAFE intervention group or conventional group. The primary outcome was the incidence of adductor canal catheter dislodged to outside the adductor canal, on ultrasound evaluation, 24 hours after the surgery. Secondary outcomes were pain scores, opioid consumption and continuous adductor canal block related complications for the first 48 hours after surgery.ResultsThe catheters placed using ISAFE approach had a lower rate of dislodgement in comparison to the control group (18.6% vs 44.9%, respectively, p=0.01), at 24 hours after surgery; and lower pain scores for rest, on the first two postoperative days.ConclusionsISAFE group had a significantly lower rate of dislodgement at 24 hours. The continuous adductor canal block analgesic benefit for knee arthroplasty depends on the position of the tip of the catheter inside the adductor canal.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD
Subject
/ Arthroplasty, Replacement, Knee - adverse effects
/ Arthroplasty, Replacement, Knee - methods
/ Female
/ Fentanyl
/ Foreign-Body Migration - epidemiology
/ Foreign-Body Migration - etiology
/ Foreign-Body Migration - prevention & control
/ Humans
/ Knee
/ Male
/ Morphine
/ Nerve Block - adverse effects
/ Pain
/ Pain, Postoperative - diagnosis
/ Pain, Postoperative - etiology
/ Pain, Postoperative - prevention & control
/ Patients
/ Regional anesthesia and acute pain
/ Surgery
