ĐÁNH GIÁ HIỆU QUẢ GÂY TÊ THẦN KINH ĐÙI LIÊN TỤC QUA ĐẶT CATHETER DƯỚI HƯỚNG DẪN CỦA SIÊU ÂM ĐỂ GIẢM ĐAU SAU PHẪU THUẬT VÙNG DƯỚI ĐÙI VÀ KHỚP GỐI TẠI BỆNH VIỆN 198

Abstract

Objective: Comparative study of ultrasound - guided continuous femoral nerve block with used mocphin and paracetamol for pain relief following the under femoral fracture and knee surgery. Subject and method: A randomized controlled clinical trial, 64 patients with the under femoral fracture and knee surgery were divided into 2 groups: Group 1 received with used mocphin 0.1mg/kg/4h and 1gr paracetamol/6h, group 2 received continuous femoral nerve blockade with ropivacain 0.2% for postoperative anesthesia 48h. Result: The mean VAS pain at rest and movement of the two groups was similar at most of the research time. The successful rate of Ultrasound - guided femoral nerve blockade is 100%. Patients in both groups did not any changes in circulation and respiration. There was 21,87% of nausea and vomiting and 15,6% of urinary retention in group using morphine. There was nothing in group of continuous femoral nerve blockade Conclusion: Ultrasound - guided continuous femoral nerve blockade have been shown to be effective as well as with used mocphin and paracetamol for pain relief following the under femoral fracture and knee surgery. Ultrasound-guided continuous femoral nerve block is a safe, facile and good analgesic approach.