BILATERAL FASCIA ILIACA CATHETERS FOR POSTOPERATIVE PAIN CONTROL AFTER BILATERAL TOTAL KNEE ARTHROPLASTY - A CASE-REPORT AND DESCRIPTION OFA CATHETER TECHNIQUE

Citation
Sr. Longo et Dp. Williams, BILATERAL FASCIA ILIACA CATHETERS FOR POSTOPERATIVE PAIN CONTROL AFTER BILATERAL TOTAL KNEE ARTHROPLASTY - A CASE-REPORT AND DESCRIPTION OFA CATHETER TECHNIQUE, Regional anesthesia, 22(4), 1997, pp. 372-377
Citations number
12
Categorie Soggetti
Anesthesiology
Journal title
ISSN journal
0146521X
Volume
22
Issue
4
Year of publication
1997
Pages
372 - 377
Database
ISI
SICI code
0146-521X(1997)22:4<372:BFICFP>2.0.ZU;2-O
Abstract
Background and Objectives. The pain following total knee arthroplasty can be associated with significant morbidity, especially in the elderl y. Regional anesthetic techniques attenuate or eliminate postoperative pain, which may reduce this morbidity. Methods. A 74-year-old patient with history of an epidural abscess underwent elective bilateral tota l knee arthroplasty for degenerative joint disease. Bilateral lumbar p lexus catheters were placed via the fascia iliaca compartments. Lidoca ine was infused postoperative through both catheters, and serum lidoca ine levels were followed. Results. The patient received significant po stoperative pain relief based on physical and subjective examination. There were no complications or untoward effects related to the techniq ue. Conclusion. Lumbar plexus blockade with continuous local anestheti c infusion via the fascia iliaca compartment is an effective means of providing postoperative analgesia after total knee arthroplasty when e pidural analgesia is contraindicated.