WJPR Citation New

  All Since 2011
 Citation  2903  2393
 h-index  27  24
 i10-index  68  60

Login

Best Paper Awards

World Journal of Pharmaceutical Research (WJPR) will give best paper award in every issue in the form of money along with certificate to promote research activity of scholar.
            Best Paper Award :
Dr. Muhammad Baqir MR Fakhrildin
Download Article: Click Here

Search

Track Your Article

Abstract

EPIDURAL ANALGESIA VERSUS FEMORAL NERVE BLOCK AFTER TOTAL KNEE REPLACEMENT: COMPARISON OF EFFICACY AND SAFETY

*Dr. Venkateswaran Sundararajan, Dr. Ramila Jamaliya, Dr. Mohit Dave, Dr. Janvi Patel and Dr. Daxa Oza

ABSTRACT

Aim of Study: To compare procedure of post-operative pain relief in TKR between epidural analgesia and femoral nerve block. We compared analgesic efficacy, side effects, post-operative knee rehabilitation and duration of hospital stay. Materials and Methods: Fifty cases posted for elective unilateral TKR under spinal anaesthesia were randomly divided into two groups. Patients in group E received epidural analgesia (0.125% bupivacaine 15 ml) and group F received femoral nerve block (0.125% bupivacaine 15 ml). Analgesic efficacy in term of onset of action & duration of analgesia was assessed by using VAS (0 to 10cm) for 24hr. No of rescue analgesic doses and side effects were also assessed. Results: in group E: VAS score >6 in epidural (7.31+/- 0.52) and in group F: VAS score (6.85 +/-0.34) which suggest longer duration of pain relief in epidural analgesia. Total incidence of side effects 27% in case of group E compared to 5% in group F. Hypotension, Nausea,. Itching, Back pain, are common side effects in group E. Patient satisfaction was greater with group F. Although post-operative knee rehabilitation and hospital stay were not different. Conclusion: There is longer duration of pain relief in epidural analgesia but group F represents optimal analgesia with fewer side effects and greater patient satisfaction. Femoral block is safe, cheap & easy. Required less skill, equipment and cost effective. So for age related safety purpose, femoral block has higher value for pain relief in TKR even than epidural gives more analgesia.

Keywords: Total knee replacement, post-operative analgesia, Epidural analgesia, Femoral nerve block.


[Full Text Article]

Call for Paper

World Journal of Pharmaceutical Research (WJPR)
Read More

Email & SMS Alert

World Journal of Pharmaceutical Research (WJPR)
Read More

Article Statistics

World Journal of Pharmaceutical Research (WJPR)
Read More

Online Submission

World Journal of Pharmaceutical Research (WJPR)
Read More