Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study
Study Objective The application of regional anaesthesia techniques as a component of multimodal analgesia in knee arthroscopic surgeries increases the quality of postoperative analgesia. Adductor canal block (ACB) is an effective "motor sparing" analgesia technique used in knee surgeries....
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-11, Vol.75 (11), p.e14747-n/a |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Guven Kose, Selin Kose, Halil Cihan Arslan, Gulten Eler Cevik, Banu Tulgar, Serkan |
| description | Study Objective
The application of regional anaesthesia techniques as a component of multimodal analgesia in knee arthroscopic surgeries increases the quality of postoperative analgesia. Adductor canal block (ACB) is an effective "motor sparing" analgesia technique used in knee surgeries. This study aimed to evaluate the efficacy of ACB using two different concentrations of local anaesthetic in terms of analgesic requirements and pain density in patients undergoing knee arthroscopy.
Design
Prospective, randomised, controlled.
Setting
Tertiary hospital.
Patients
A total of 60 patients (ASA I‐II) were evaluated in three groups, with 20 patients in each group.
Interventions
Standardised postoperative analgesia was performed in all groups. In addition, ultrasound‐guided ACB (same volume/two different concentrations of bupivacaine: 0.25% vs 0.16%) was applied to the experimental groups.
Measurements
Tramadol consumption, rescue analgesic requirement and Numeric Rating Scores (NRS).
Main Results
Tramadol requirement in the first 24 hours was significantly higher in the control group (209.5 ± 23.27 mg) (P |
| doi_str_mv | 10.1111/ijcp.14747 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2564494253</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2564494253</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3527-bc92eec79f962f1330cbd02996f6a0e383cf59201230802516958d0045ad834d3</originalsourceid><addsrcrecordid>eNp9kbtuFDEUhi0EIiHQ8ADIEg1CmuDrjIcuWgUSFCkUUI88viTeeMeDL1lNxyNQ8nw8Cd5skoKC0_yn-PRJ5_wAvMboGNf54NZqPsasY90TcIg7RhpMGH5ad9qKhiOKD8CLlNYIEc4Feg4OKGNEUMoOwe_TW-mLzC5MMFhYfI4yhTLpPz9_XRWnjYZS66JyiFDJSXo4-qBu4Nbla5i3AWpnrYlmylCFSdWMj7KxzO5WKukmA90EZczXMSQVZqfgzWQMTCVembh8hCfQGpnc6LzLC0y56OUleGalT-bVfR6B759Ov63OmovLz-erk4tGUU66ZlQ9MUZ1ve1bYjGlSI0akb5vbSuRoYIqy3uCMKFI1Ptx23OhEWJcakGZpkfg3d47x_CjmJSHjUvKeC8nE0oaCG8Z6xnhtKJv_0HXocT6kx1VZRRxISr1fk-pemyKxg5zdBsZlwGjYdfXsOtruOurwm_ulWXcGP2IPhRUAbwHts6b5T-q4fzL6ute-hedoqM3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2583430588</pqid></control><display><type>article</type><title>Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Guven Kose, Selin ; Kose, Halil Cihan ; Arslan, Gulten ; Eler Cevik, Banu ; Tulgar, Serkan</creator><creatorcontrib>Guven Kose, Selin ; Kose, Halil Cihan ; Arslan, Gulten ; Eler Cevik, Banu ; Tulgar, Serkan</creatorcontrib><description>Study Objective
The application of regional anaesthesia techniques as a component of multimodal analgesia in knee arthroscopic surgeries increases the quality of postoperative analgesia. Adductor canal block (ACB) is an effective "motor sparing" analgesia technique used in knee surgeries. This study aimed to evaluate the efficacy of ACB using two different concentrations of local anaesthetic in terms of analgesic requirements and pain density in patients undergoing knee arthroscopy.
Design
Prospective, randomised, controlled.
Setting
Tertiary hospital.
Patients
A total of 60 patients (ASA I‐II) were evaluated in three groups, with 20 patients in each group.
Interventions
Standardised postoperative analgesia was performed in all groups. In addition, ultrasound‐guided ACB (same volume/two different concentrations of bupivacaine: 0.25% vs 0.16%) was applied to the experimental groups.
Measurements
Tramadol consumption, rescue analgesic requirement and Numeric Rating Scores (NRS).
Main Results
Tramadol requirement in the first 24 hours was significantly higher in the control group (209.5 ± 23.27 mg) (P < .001), and there was no difference between the experimental groups (63 ± 42.06 mg vs 80.5 ± 36.63 mg). Although the mean NRS scores in the first three hours were higher in the control group when compared with both block groups, it was similar in all groups in the following measurements.
Conclusion
In arthroscopic knee surgery, ACB interventions with 0.25% and 0.16% concentrations of bupivacaine were similar in terms of postoperative analgesic efficacy, and they increased the quality of multimodal analgesics when compared with the control group.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14747</identifier><identifier>PMID: 34428334</identifier><language>eng</language><publisher>India: Hindawi Limited</publisher><subject>Analgesia ; Analgesics ; Analgesics, Opioid ; Anesthesia ; Arthroscopy ; Bupivacaine ; Canals (anatomy) ; Feasibility Studies ; Humans ; Knee ; Local anesthesia ; Pain perception ; Pain, Postoperative - drug therapy ; Pain, Postoperative - prevention & control ; Patients ; Prospective Studies ; Surgery ; Tramadol ; Ultrasonic imaging ; Ultrasonography, Interventional ; Ultrasound</subject><ispartof>International journal of clinical practice (Esher), 2021-11, Vol.75 (11), p.e14747-n/a</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>2021 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3527-bc92eec79f962f1330cbd02996f6a0e383cf59201230802516958d0045ad834d3</cites><orcidid>0000-0001-5844-4606 ; 0000-0002-8322-5357 ; 0000-0003-4293-7814 ; 0000-0003-1550-348X ; 0000-0003-1996-7505</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14747$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14747$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34428334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guven Kose, Selin</creatorcontrib><creatorcontrib>Kose, Halil Cihan</creatorcontrib><creatorcontrib>Arslan, Gulten</creatorcontrib><creatorcontrib>Eler Cevik, Banu</creatorcontrib><creatorcontrib>Tulgar, Serkan</creatorcontrib><title>Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Study Objective
The application of regional anaesthesia techniques as a component of multimodal analgesia in knee arthroscopic surgeries increases the quality of postoperative analgesia. Adductor canal block (ACB) is an effective "motor sparing" analgesia technique used in knee surgeries. This study aimed to evaluate the efficacy of ACB using two different concentrations of local anaesthetic in terms of analgesic requirements and pain density in patients undergoing knee arthroscopy.
Design
Prospective, randomised, controlled.
Setting
Tertiary hospital.
Patients
A total of 60 patients (ASA I‐II) were evaluated in three groups, with 20 patients in each group.
Interventions
Standardised postoperative analgesia was performed in all groups. In addition, ultrasound‐guided ACB (same volume/two different concentrations of bupivacaine: 0.25% vs 0.16%) was applied to the experimental groups.
Measurements
Tramadol consumption, rescue analgesic requirement and Numeric Rating Scores (NRS).
Main Results
Tramadol requirement in the first 24 hours was significantly higher in the control group (209.5 ± 23.27 mg) (P < .001), and there was no difference between the experimental groups (63 ± 42.06 mg vs 80.5 ± 36.63 mg). Although the mean NRS scores in the first three hours were higher in the control group when compared with both block groups, it was similar in all groups in the following measurements.
Conclusion
In arthroscopic knee surgery, ACB interventions with 0.25% and 0.16% concentrations of bupivacaine were similar in terms of postoperative analgesic efficacy, and they increased the quality of multimodal analgesics when compared with the control group.</description><subject>Analgesia</subject><subject>Analgesics</subject><subject>Analgesics, Opioid</subject><subject>Anesthesia</subject><subject>Arthroscopy</subject><subject>Bupivacaine</subject><subject>Canals (anatomy)</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>Knee</subject><subject>Local anesthesia</subject><subject>Pain perception</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Tramadol</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Interventional</subject><subject>Ultrasound</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kbtuFDEUhi0EIiHQ8ADIEg1CmuDrjIcuWgUSFCkUUI88viTeeMeDL1lNxyNQ8nw8Cd5skoKC0_yn-PRJ5_wAvMboGNf54NZqPsasY90TcIg7RhpMGH5ad9qKhiOKD8CLlNYIEc4Feg4OKGNEUMoOwe_TW-mLzC5MMFhYfI4yhTLpPz9_XRWnjYZS66JyiFDJSXo4-qBu4Nbla5i3AWpnrYlmylCFSdWMj7KxzO5WKukmA90EZczXMSQVZqfgzWQMTCVembh8hCfQGpnc6LzLC0y56OUleGalT-bVfR6B759Ov63OmovLz-erk4tGUU66ZlQ9MUZ1ve1bYjGlSI0akb5vbSuRoYIqy3uCMKFI1Ptx23OhEWJcakGZpkfg3d47x_CjmJSHjUvKeC8nE0oaCG8Z6xnhtKJv_0HXocT6kx1VZRRxISr1fk-pemyKxg5zdBsZlwGjYdfXsOtruOurwm_ulWXcGP2IPhRUAbwHts6b5T-q4fzL6ute-hedoqM3</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Guven Kose, Selin</creator><creator>Kose, Halil Cihan</creator><creator>Arslan, Gulten</creator><creator>Eler Cevik, Banu</creator><creator>Tulgar, Serkan</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5844-4606</orcidid><orcidid>https://orcid.org/0000-0002-8322-5357</orcidid><orcidid>https://orcid.org/0000-0003-4293-7814</orcidid><orcidid>https://orcid.org/0000-0003-1550-348X</orcidid><orcidid>https://orcid.org/0000-0003-1996-7505</orcidid></search><sort><creationdate>202111</creationdate><title>Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study</title><author>Guven Kose, Selin ; Kose, Halil Cihan ; Arslan, Gulten ; Eler Cevik, Banu ; Tulgar, Serkan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3527-bc92eec79f962f1330cbd02996f6a0e383cf59201230802516958d0045ad834d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analgesia</topic><topic>Analgesics</topic><topic>Analgesics, Opioid</topic><topic>Anesthesia</topic><topic>Arthroscopy</topic><topic>Bupivacaine</topic><topic>Canals (anatomy)</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>Knee</topic><topic>Local anesthesia</topic><topic>Pain perception</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Tramadol</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Interventional</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guven Kose, Selin</creatorcontrib><creatorcontrib>Kose, Halil Cihan</creatorcontrib><creatorcontrib>Arslan, Gulten</creatorcontrib><creatorcontrib>Eler Cevik, Banu</creatorcontrib><creatorcontrib>Tulgar, Serkan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guven Kose, Selin</au><au>Kose, Halil Cihan</au><au>Arslan, Gulten</au><au>Eler Cevik, Banu</au><au>Tulgar, Serkan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2021-11</date><risdate>2021</risdate><volume>75</volume><issue>11</issue><spage>e14747</spage><epage>n/a</epage><pages>e14747-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Study Objective
The application of regional anaesthesia techniques as a component of multimodal analgesia in knee arthroscopic surgeries increases the quality of postoperative analgesia. Adductor canal block (ACB) is an effective "motor sparing" analgesia technique used in knee surgeries. This study aimed to evaluate the efficacy of ACB using two different concentrations of local anaesthetic in terms of analgesic requirements and pain density in patients undergoing knee arthroscopy.
Design
Prospective, randomised, controlled.
Setting
Tertiary hospital.
Patients
A total of 60 patients (ASA I‐II) were evaluated in three groups, with 20 patients in each group.
Interventions
Standardised postoperative analgesia was performed in all groups. In addition, ultrasound‐guided ACB (same volume/two different concentrations of bupivacaine: 0.25% vs 0.16%) was applied to the experimental groups.
Measurements
Tramadol consumption, rescue analgesic requirement and Numeric Rating Scores (NRS).
Main Results
Tramadol requirement in the first 24 hours was significantly higher in the control group (209.5 ± 23.27 mg) (P < .001), and there was no difference between the experimental groups (63 ± 42.06 mg vs 80.5 ± 36.63 mg). Although the mean NRS scores in the first three hours were higher in the control group when compared with both block groups, it was similar in all groups in the following measurements.
Conclusion
In arthroscopic knee surgery, ACB interventions with 0.25% and 0.16% concentrations of bupivacaine were similar in terms of postoperative analgesic efficacy, and they increased the quality of multimodal analgesics when compared with the control group.</abstract><cop>India</cop><pub>Hindawi Limited</pub><pmid>34428334</pmid><doi>10.1111/ijcp.14747</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5844-4606</orcidid><orcidid>https://orcid.org/0000-0002-8322-5357</orcidid><orcidid>https://orcid.org/0000-0003-4293-7814</orcidid><orcidid>https://orcid.org/0000-0003-1550-348X</orcidid><orcidid>https://orcid.org/0000-0003-1996-7505</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1368-5031 |
| ispartof | International journal of clinical practice (Esher), 2021-11, Vol.75 (11), p.e14747-n/a |
| issn | 1368-5031 1742-1241 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Analgesia Analgesics Analgesics, Opioid Anesthesia Arthroscopy Bupivacaine Canals (anatomy) Feasibility Studies Humans Knee Local anesthesia Pain perception Pain, Postoperative - drug therapy Pain, Postoperative - prevention & control Patients Prospective Studies Surgery Tramadol Ultrasonic imaging Ultrasonography, Interventional Ultrasound |
| title | Evaluation of ultrasound‐guided adductor canal block with two different concentration of bupivacaine in arthroscopic knee surgery: A feasibility study |
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