A "new" automated bolus technique for continuous popliteal block : a prospective, randomized comparison with a continuous infusion technique
BACKGROUND: We designed the present, prospective, randomized, double-blind study to compare the administration of an automated intermittent bolus dose with a conventional technique of continuous infusion of local anesthetic for postoperative analgesia in continuous popliteal sciatic nerve blockade.
METHODS: Forty-four patients undergoing hallux valgus repair were randomly assigned to receive either a continuous infusion of 0.125% levobupivacaine with an infusion rate of 5 mL/h (continuous infusion group, n=22) or automated bolus doses of 5 mL every hour of the same local anesthetic (automated bolus group, n=22) for 24 h. Postoperative pain scores were assessed using a verbal rating pain score. The amount of rescue tramadol medication for pain was also recorded.
RESULTS: In patients of the automated bolus group there was a reduction in pain scores (P<0.05) during the postoperative period, when compared to patients of the continuous infusion group. Five patients in the automated bolus group (24%) and 11 patients of the continuous group (52%) required rescue tramadol analgesia (P=0.055).
CONCLUSION: The present investigation demonstrated that local anesthetic administered by an automated bolus technique provided better postoperative pain relief than a continuous infusion technique for continuous popliteal nerve block after foot surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2008 |
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| Erschienen: |
2008 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:107 |
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| Enthalten in: |
Anesthesia and analgesia - 107(2008), 4 vom: 01. Okt., Seite 1433-7 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Taboada, Manuel [VerfasserIn] |
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| Links: |
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| Themen: |
A5H73K9U3W |
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| Anmerkungen: |
Date Completed 09.10.2008 Date Revised 01.12.2018 published: Print Citation Status MEDLINE |
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| doi: |
10.1213/ane.0b013e3181824164 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM182561828 |
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| 100 | 1 | |a Taboada, Manuel |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A "new" automated bolus technique for continuous popliteal block |b a prospective, randomized comparison with a continuous infusion technique |
| 264 | 1 | |c 2008 | |
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| 500 | |a Date Revised 01.12.2018 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: We designed the present, prospective, randomized, double-blind study to compare the administration of an automated intermittent bolus dose with a conventional technique of continuous infusion of local anesthetic for postoperative analgesia in continuous popliteal sciatic nerve blockade | ||
| 520 | |a METHODS: Forty-four patients undergoing hallux valgus repair were randomly assigned to receive either a continuous infusion of 0.125% levobupivacaine with an infusion rate of 5 mL/h (continuous infusion group, n=22) or automated bolus doses of 5 mL every hour of the same local anesthetic (automated bolus group, n=22) for 24 h. Postoperative pain scores were assessed using a verbal rating pain score. The amount of rescue tramadol medication for pain was also recorded | ||
| 520 | |a RESULTS: In patients of the automated bolus group there was a reduction in pain scores (P<0.05) during the postoperative period, when compared to patients of the continuous infusion group. Five patients in the automated bolus group (24%) and 11 patients of the continuous group (52%) required rescue tramadol analgesia (P=0.055) | ||
| 520 | |a CONCLUSION: The present investigation demonstrated that local anesthetic administered by an automated bolus technique provided better postoperative pain relief than a continuous infusion technique for continuous popliteal nerve block after foot surgery | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 7 | |a Anesthetics, Local |2 NLM | |
| 650 | 7 | |a Levobupivacaine |2 NLM | |
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| 650 | 7 | |a Bupivacaine |2 NLM | |
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| 700 | 1 | |a Rodríguez, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Bermudez, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Valiño, Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Ulloa, Beatriz |e verfasserin |4 aut | |
| 700 | 1 | |a Aneiros, Francisco |e verfasserin |4 aut | |
| 700 | 1 | |a Gude, Francisco |e verfasserin |4 aut | |
| 700 | 1 | |a Cortés, Joaquín |e verfasserin |4 aut | |
| 700 | 1 | |a Alvarez, Julian |e verfasserin |4 aut | |
| 700 | 1 | |a Atanassoff, Peter G |e verfasserin |4 aut | |
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