全膝关节置换术后镇痛.pdf

The Scientific World Journal Volume 2012, Article ID 273821, 6 pages The cientificWorldJOURNAL doi:10.1100/2012/273821 Research Article Impact of a Preemptive Multimodal Analgesia plus Femoral Nerve Blockade Protocol on Rehabilitation, Hospital Length of Stay, and Postoperative Analgesia after Primary Total Knee Arthroplasty: A Controlled Clinical Pilot Study Lauren A. Beaupre,1, 2 D. Bill C. Johnston,2 Sherry Dieleman,2 and Ban Tsui3 1 Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada T6G 2G4 2 Division of Orthopaedic Surgery, Department of Surgery, University of Alberta, 1F1.52 WMC, 8440-112 Street, Edmonton, AB, Canada T6G 2B7 3 Department of Anesthesiology and Pain Medicine, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada T6G 2B7 Correspondence should be addressed to Lauren A. Beaupre, lauren.beaupre@ualberta.ca Received 18 October 2011; Accepted 21 December 2011 ¨ Academic Editors: A. Gottschalk, M. Hedstrom, and J. B. Renner Copyright © 2012 Lauren A. Beaupre et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To compare preemptive multimodal analgesia (PMMA) without femoral nerve blocks (FNB) to PMMA including FNB following total knee arthroplasty (TKA). Methods. In a prospective, controlled pilot study, subjects with noninflammatory arthritis undergoing TKA and a short postoperative stay received either PMMA + FNB (FNB group; n = 19) or PMMA only (PMMA group; n = 20). No preoperative group differences were noted. Evaluatio