Femoral Preincisional Block in Acute Postoperative Pain Management of Surgery Orthopaedic Lower Limb

Hospital Central Dr. Luis Ortega

Status and phase

Completed

Phase 4

Conditions

Surgery

Treatments

Procedure: Femoral block by ultrasound and neurostimulation

Drug: Intravenous analgesia

Study type

Interventional

Funder types

Other

Identifiers

NCT02239497

Femoral Block

Details and patient eligibility

About

Proper management of acute postoperative pain (DAPO) is essential for the recovery of orthopedic surgeries. The blockade of the femoral nerve preincisional (BFP) is simple and its effectiveness increases guided by ultrasound and neurostimulation. OBJECTIVE: To evaluate the effectiveness of BFP in patients undergoing orthopedic surgery of the lower limbs under general anesthesia. METHODS: A comparative study was conducted, randomized, two groups, surgeries of the hip, femur and knee, ASA I-II, aged 18 years. Group B (n = 15) received BFP and ultrasound-guided nerve stimulation with 20 ml of bupivacaine 0.5% plus epinephrine 1: 200,000. Group S (n = 15) without blocking. Both groups received intravenous analgesia with ketoprofen 100 mg regimen and dipyrone 1g c / 8 hs and balanced general anesthesia. Postoperative morphine 0.03 mgr / kgr / weight was administered if EVA ≥4

Enrollment

30 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

ASA I and II patients, both sexes, plan for elective orthopaedic surgery of the lower limbs (femur and knee) under general anesthesia

Exclusion criteria

Patients with any anesthetic or surgical complication
Patients with neuromuscular diseases
Allergy to any of the drugs used in the study
Inability to understand and use a pain scale
Also those patients in whom it was not possible to locate anatomical landmarks and / or failed femoral block

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

30 participants in 2 patient groups

femoral block by US and NE and intravenous analgesia

Experimental group

Description:

preincisional femoral block by ultrasound and neurostimulation, with 20 ml bupivacaine 0,5% and epinephrine. ketoprofen, dipyrone and dexamethasone IV. Morphine IV to rescue analgesia

Treatment:

Procedure: Femoral block by ultrasound and neurostimulation

Drug: Intravenous analgesia

Intravenous analgesia

Experimental group

Description:

Intravenous analgesia with ketoprofen, dipyrone and morphine. IV morphine to rescue analgesia

Treatment:

Drug: Intravenous analgesia