Use of femoral nerve blocks in adolescents undergoing patellar realignment surgery

The purpose of this study was to analyze the efficacy of femoral nerve blocks (FNBs) in decreasing postoperative narcotic use in adolescents undergoing patellar realignment surgery (PRS). All patients who underwent PRS at 2 children's hospitals between 1998 and 2002 were included in the study....

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Published inThe American journal of orthopedics (Belle Mead, N.J.) Vol. 37; no. 1; p. 39
Main Authors Luhmann, Scott J, Schootman, Mario, Schoenecker, Perry L, Gordon, J Eric, Schrock, Charles
Format Journal Article
LanguageEnglish
Published United States 01.01.2008
Subjects
Administration, Oral
Adolescent
Analgesia, Patient-Controlled
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - therapeutic use
Child
Female
Femoral Nerve
Humans
Injections, Intravenous
Male
Morphine - administration & dosage
Morphine - therapeutic use
Nerve Block - methods
Pain, Postoperative - prevention & control
Patella - surgery
Patellar Dislocation - surgery
Treatment Outcome
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Summary:The purpose of this study was to analyze the efficacy of femoral nerve blocks (FNBs) in decreasing postoperative narcotic use in adolescents undergoing patellar realignment surgery (PRS). All patients who underwent PRS at 2 children's hospitals between 1998 and 2002 were included in the study. Patients were grouped according to postoperative analgesia: FNB (n = 14), as-needed intravenous morphine (PRN-IV; n = 16), or patient-controlled analgesia using morphine (PCA; n = 13). Total postoperative i.v. morphine use was statistically significantly different among the 3 groups: 9.0 mg for FNB, 26.43 mg for PRN-IV, and 64.7 mg for PCA. FNB use was effective in significantly decreasing postoperative i.v. narcotic use.
ISSN:1934-3418