The Knee
Volume 16, Issue 2 , Pages 98-100 , March 2009

Femoral nerve block for total knee replacement — A word of caution

  • Mohanasundaram Kandasami

      Affiliations

    • Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, Scotland, UK
    • ,
  • Andrew WG Kinninmonth

      Affiliations

    • Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, Scotland, UK
    • ,
  • Martin Sarungi

      Affiliations

    • Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, Scotland, UK
    • ,
  • Joseph Baines

      Affiliations

    • Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, Scotland, UK
    • ,
  • Nicholas B Scott

      Affiliations

    • Perioperative Medicine, Golden Jubilee National Hospital, Clydebank, Glasgow, Scotland, UK
    • Corresponding Author InformationCorresponding author. Department of Anaesthetics, Golden Jubilee National Hospital, Clydebank, Glasgow, G81 4HX Scotland, UK. Tel.: +44 141 951 5600; fax: +44 141 951 5603.

Received 4 June 2008 ,Revised 23 October 2008 ,Accepted 26 October 2008.

References 

  1. Capdevila X, Barthelet Y, Biboulet P, Ryckwaert Y, Rubenovitch J, d'Athis F. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anaesthesiology. 1999;91:8–15
  2. Singelyn FJ, Deyaert M, Joris D, Pendeville E, Gouverneur JM. Effect of intravenous patient controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg. 1998;87:88–92
  3. Chelly J, Greger J, Gebhard R, Coupe K, Clyburn TA, Buckle R, et al. Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. J Arthroplast. 2001;16:436–445
  4. Davis AF, Segar EP, Murdoch J, Wright DE, Wilson IH. Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty. Br J Anaesth. 2004;93:368–374
  5. Ruyter ML, Brueilly KE, Harrision BA, Greengrass RA, Putzke JD, Brodersen MP. A pilot study on continuous femoral perineural catheter for analgesia after total knee arthroplasty. J Arthroplast. 2006;21:1111–1117
  6. Wiegel M, Gottschaldt U, Hennebach R, Hirschberg T, Reske A. Complications and adverse effects associated with continuous peripheral nerve blocks in orthopedic patients. Anesth Analg. 2007;104:1578–1582
  7. Bickler P, Brandes J, Lee M, Bozic K, Chesbro B, Claassen J. Bleeding complications from femoral and sciatic nerve catheters in patients receiving low molecular weight heparin. Anesth Analg. 2006;103:1036–1037
  8. Barrington MJ, Olive D, Low K, Scott DA, Brittain J, Choong P. Continuous femoral blockade or epidural analgesia after total knee replacement: a prospective randomised controlled trial. Anesth Analg. 2005;101:1824–1829
  9. Muraskin SI, Conard B, Zheng N, Morey TE, Enneking FK. Falls associated with lower extremity nerve blocks: a pilot investigation of mechanisms. Reg Anesth Pain Med. 2007;32:67–72
  10. AAOS . Fall prevention following regional nerve blocks for postoperative analgesia. In: AAOS Online Bull. 2006;Available at: http://www2.aaos.org/aaos/archives/bulletin/feb06/rskman1.asp last accessed by author January 20, 2008
  11. Bromage PR. Epidural Analgesia. Philadelphia: WB Saunders; 1978;144.
  12. Auroy Y, Benhamou D, Bargues L, Ecoffey C, Falissard B, Mercier FJ, et al. Major complications of regional anesthesia in France: the SOS Regional Anesthesia Hotline Service. Anesthesiology. 2002;97:1274–1280
  13. Capdevila X, Pirat P, Bringuier S, Gaertner E, Singelyn F, Bernard N, et al. Continuous peripheral nerve blocks in hospital wards after orthopedic surgery: a multicenter prospective analysis of the quality of postoperative analgesia and complications in 1,416 patients. Anesthesiology. 2005;103(5):1035–1045
  14. Casati A, Vinciguerra F, Cappelleri G, Aldegheri G, Panelli G, Putzu M, et al. Adding clonidine to the induction bolus and postoperative infusion during continuous femoral nerve block delays recovery of motor function after total knee arthroplasty. Anesth Analg. 2005;100:866–887

PII: S0968-0160(08)00191-9

doi: 10.1016/j.knee.2008.10.007

The Knee
Volume 16, Issue 2 , Pages 98-100 , March 2009

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