A compression bandage improves local infiltration analgesia in total knee arthroplasty

Andersen, Lea Laird; Husted, Henrik; Otte, Kristian Stahl; Kristensen, B.; Kehlet, Henrik

doi:10.1080/17453670810016894

Cited by 100 publications

(101 citation statements)

References 15 publications

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“…Several studies have been performed by Andersen into the optimum technique for LAi, including the location of the injection, the concentration and volume of injectate and the use of bandages to improve spread [21][22][23][24][25] and Williams et al demonstrated no significant benefit from a 48-hour infusion of local anaesthetic following intra-operative infiltration. 13 However, there is still little consensus as to the optimum technique.…”

Section: This Study In Relation To Other Studies and Future Researchmentioning

confidence: 99%

Periarticular local anaesthetic in knee arthroplasty: A systematic review and meta-analysis of randomised trials

Gibbins¹,

Kane²,

Smit³

et al. 2016

SA orthop. j.

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IntroductionThe provision of adequate post-operative analgesia in patients undergoing knee arthroplasty presents a significant challenge. A multimodal approach to pain control in these patients has been commonly adopted with regimens including opioids, nonsteroidal anti-inflammatory drugs, adjuncts such as gabapentin or pregabalin, and the use of neuraxial and peripheral nerve blockade. Peri-articular injections and infusion of local anaesthetic holds great attraction as it provides localised analgesia without the side effects often seen with neuraxial or peripheral nerve blockade. This systematic review and meta-analysis aimed to determine whether, in adults undergoing knee arthroplasty, adding peri-articular local anaesthetic to a post-operative pain regimen improved post-operative pain scores. AbstractBackground: This systematic review and meta-analysis aimed to quantify the effect of adding peri-articular local anaesthetic infiltration or infusion to an analgesic strategy in patients undergoing knee arthroplasty.

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Section: This Study In Relation To Other Studies and Future Researchmentioning

confidence: 99%

Periarticular local anaesthetic in knee arthroplasty: A systematic review and meta-analysis of randomised trials

Gibbins¹,

Kane²,

Smit³

et al. 2016

SA orthop. j.

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“…Finally, the subcutaneous layers were systematically injected with 50 ml ropivacaine 0.2% (without adrenaline) immediately before wound closure. A compression bandage was applied firmly from the toes to the mid-thigh and consisted of an inner double layer of soft padding (Soffban; BSN medical Ltd., Brierfield, UK), surrounded by an overlapping layer of Acrylastic (elastic adhesive bandage; BSN medical S.A.S, Vibraye, France) [18]. Six and 24 h postoperatively, the catheter was injected with 20 ml ropivacaine 0.5% or 10 ml ropivacaine 1.0%, according to randomisation.…”

Section: Methodsmentioning

confidence: 99%

Analgesic efficacy of local anaesthetic wound administration in knee arthroplasty: volume vs concentration

et al. 2010

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Summary Wound administration of local anaesthetic may be effective for postoperative pain management in knee arthroplasty, but the analgesic efficacy of local anaesthetic in relation to volume vs concentration has not been determined. In a double‐blinded trial, 48 patients scheduled for total knee arthroplasty were randomly assigned to receive either a high volume/low concentration solution of ropivacaine (20 ml, 0.5%) or a low volume/high concentration solution of ropivacaine (10 ml, 1%), 6 and 24 h postoperatively through an intracapsular catheter. Pain was assessed for 2 h after administration. Pain was reduced in both groups with ropivacaine administration 24 h postoperatively (p < 0.02), but with no difference in analgesia between groups at all time intervals. No reduction in pain scores was observed with ropivacaine injection 6 h postoperatively. The median (IQR [range]) dose of oxycodone administered was 12.5 (10–19 [0–35]) mg in the high volume/low concentration group, and 20 mg (16–40 [0–65]) mg in the low volume/high concentration group (p = 0.005). In conclusion, intracapsular administration of local anaesthetic may have limited analgesic efficacy with no volume vs concentration relationship after total knee arthroplasty.

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“…Meanwhile, the efficacy of LAI was comparable to that of epidural anesthesia, femoral nerve block (FNB) [2], adductor canal block (ACB) [5], and intrathecal morphine [6]. Sciatic nerve block (SNB) and LAI are two major options to supplement FNB in relieving of pain after TKR, However, its short duration of action limited its clinical application [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Adductor Canal Block Combined with Sciatic Nerve Block Vs. Local Analgesic Infiltration for Pain Control after Total Knee Arthroplasty

Eldegwy¹,

Negm²

2017

J Anesth Clin Res

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Background: A combined adductor canal block (ACB) and sciatic nerve block (SNB) is new different way to achieve an efficient postoperative analgesia after total knee replacement (TKR) that spares the weakness of quadriceps femoris muscle. This prospective randomized controlled trial aimed to evaluate the efficiency and safety of the combined adductor canal with sciatic nerve blocks versus local analgesic infiltration alone for pain control after total knee replacement.

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A compression bandage improves local infiltration analgesia in total knee arthroplasty

Cited by 100 publications

References 15 publications

Periarticular local anaesthetic in knee arthroplasty: A systematic review and meta-analysis of randomised trials

Periarticular local anaesthetic in knee arthroplasty: A systematic review and meta-analysis of randomised trials

Analgesic efficacy of local anaesthetic wound administration in knee arthroplasty: volume vs concentration

Adductor Canal Block Combined with Sciatic Nerve Block Vs. Local Analgesic Infiltration for Pain Control after Total Knee Arthroplasty

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