| Citation: |
FENG Lei, ZHONG Hao, XI Yang, TAO Yan, ZHOU Yan. Effectiveness and safety of a new nerve block puncture needle in patients undergoing total knee arthroplasty[J]. Journal of Clinical Medicine in Practice, 2024, 28(24): 6-9, 14. DOI: 10.7619/jcmp.20243408
|
To investigate the effectiveness and safety of a new nerve block puncture needle for nerve block in patients undergoing total knee arthroplasty (TKA).
A total of 106 patients undergoing TKA were enrolled, and randomly divided into conventional group (n=53) and study group (n=53). Conventional nerve block puncture needle was used in the conventional group, and a new nerve block puncture needle was used in the study group. The needle insertion effects, block effects, pain [Visual Analogue Scale (VAS)], stress responses [heart rate (HR) and mean arterial pressure (MAP)] and safety were observed in both groups.
The number of needle insertions, corrections and the duration of needle insertion were significantly lower or shorter in the study group compared with the conventional group (P < 0.05). The success rate of one-time puncture in the study group was 81.13%, which was significantly higher than 62.26% in the conventional group (P < 0.05). There were no statistically significant differences in the onset time, duration and success rate of block between the two groups (P>0.05). During needle insertion, the HR, MAP and VAS scores were significantly lower in the study group compared with the conventional group (P < 0.05). The overall incidence of adverse events related to nerve blockade was significantly lower in the study group than that in the conventional group (P < 0.05).
The application of the novel nerve block needle in patients undergoing TKA exhibits good effects and high effectiveness, which can reduce stress responses and the risk of adverse events related to needle insertion.
| [1] |
PRYCE R, LANGAN E, TECTOR K, et al. Patients' experiences following total knee arthroplasty: a qualitative evidence synthesis[J]. Disabil Rehabil, 2024, 46(2): 214-231. doi: 10.1080/09638288.2022.2159548
|
| [2] |
LIM J A, THAHIR A. Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty[J]. J Perioper Pract, 2021, 31(6): 209-214.
|
| [3] |
TRAN A A, PRASAD V. Visualizing the randomized sham-controlled trial in orthopedic research: proposed steps to conducting a total knee arthroplasty randomized controlled trial[J]. J Comp Eff Res, 2023, 12(3): e210275. doi: 10.57264/cer-2021-0275
|
| [4] |
COHEN D, BACKSTEIN D. Nerve injuries in total knee arthroplasty[J]. Orthop Clin North Am, 2022, 53(2): 123-127. doi: 10.1016/j.ocl.2021.11.002
|
| [5] |
CHALMERS B P, GOYTIZOLO E, MISHU M D, et al. Manipulation under anaesthesia after primary total knee arthroplasty: minimal differences in intravenous sedation alone versus neuraxial anaesthesia[J]. Bone Joint J, 2021, 103-B(6 Supple A): 126-130. doi: 10.1302/0301-620X.103B6.BJJ-2020-1950.R1
|
| [6] |
RAMBHIA M, CHEN A, KUMAR A H, et al. Ultrasound-guided genicular nerve blocks following total knee arthroplasty: a randomized, double-blind, placebo-controlled trial[J]. Reg Anesth Pain Med, 2021, 46(10): 862-866. doi: 10.1136/rapm-2021-102667
|
| [7] |
汤正美, 李慧芹, 胡一平. 新型神经阻滞针对TKA老年患者行CFNB的效果[J]. 贵州医科大学学报, 2022, 47(6): 728-733.
|
| [8] |
SCUDERI G R. Dealing with the challenge of revision total knee arthroplasty[J]. J Knee Surg, 2021, 34(13): 1379-1381. doi: 10.1055/s-0041-1735161
|
| [9] |
CONNOLLY P, COOMBS S, SCHWARZKOPF R. Mechanical complications after total knee arthroplasty[J]. Expert Rev Med Devices, 2023, 20(12): 1105-1117. doi: 10.1080/17434440.2023.2282744
|
| [10] |
邓思敏. 超声引导下星状神经节阻滞对膝关节置换围手术期凝血功能的影响[J]. 中国当代医药, 2021, 28(31): 118-121.
|
| [11] |
BLAIR T T, WEATHERLEY T S, PANCHBHAVI V K. Techniques and complications of popliteal nerve blocks[J]. Foot Ankle Surg, 2022, 28(7): 852-857. doi: 10.1016/j.fas.2021.11.008
|
| [12] |
MORIYAMA K, MORIYAMA K, KOHYAMA T, et al. A Case Report of Femoral Hematoma following Obturator Nerve Block[J]. Case Rep Anesthesiol, 2021, 2021: 2556645.
|
| [13] |
YEOH S R, CHOU Y, CHAN S M, et al. Pericapsular nerve group block and iliopsoas plane block: a scoping review of quadriceps weakness after two proclaimed motor-sparing hip blocks[J]. Healthcare, 2022, 10(8): 1565. doi: 10.3390/healthcare10081565
|
| [14] |
LIM J W L, CHENG Y L. A single-needle puncture technique to perform sciatic and adductor canal blocks for below-knee surgery[J]. Anaesth Rep, 2023, 11(1): e12211. doi: 10.1002/anr3.12211
|
| [15] |
HUGHEY S, CAMPBELL D, RAPP-SANTOS K, et al. Refining the rat sciatic nerve block: a novel ultrasound-guided technique[J]. Lab Anim, 2022, 56(2): 191-195. doi: 10.1177/00236772211034627
|
| [16] |
COUDRAY A, CHOQUET O, SWISSER F, et al. Combination of real-time needle-tip pressure sensing and minimal intensity stimulation limits unintentional intraneural injection during an ultrasound-guided peripheral nerve block procedure: a randomized, parallel group, controlled trial[J]. J Clin Anesth, 2021, 74: 110420. doi: 10.1016/j.jclinane.2021.110420
|
| [17] |
KIM H Y, AHN J S, PARK S, et al. Comparison of catheter-over-needle and catheter-through-needle methods in ultrasound-guided continuous femoral nerve block: a prospective, randomized controlled trial[J]. Medicine, 2021, 100(26): e26519. doi: 10.1097/MD.0000000000026519
|
| [18] |
LIAO S W, SU F W, TING C K, et al. Intercostal Nerve Block Using an Innovative Intraneedle Ultrasound Transducer: a Proof-of-Concept study[J]. Ultrasound Med Biol, 2021, 47(7): 1881-1892. doi: 10.1016/j.ultrasmedbio.2021.03.001
|
| [19] |
高帆, 宋清华, 吕宗凯, 等. 医用穿刺针表面特性对穿刺过程的影响研究[J]. 机械工程学报, 2021, 57(11): 44-51.
|
| [20] |
张帆, 何彦霖, 周康鹏, 等. 穿刺手术柔性针路径规划技术现状和展望[J]. 电子测量与仪器学报, 2023, 37(6): 1-13.
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: