A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study

Background Adductor canal block (ACB) provides effective analgesia after arthroscopic knee surgery. However, there is insufficient data regarding whether ACB should be performed before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB performed before and after pl...

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Autores principales:	Mursel Ekinci, Bahadir Ciftci, Yavuz Demiraran, Erkan Cem Celik, Murat Yayik, Burak Omur, Ersin Kuyucu, Yunus Oktay Atalay
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Anesthesiologists 2021
Materias:	conduction anesthesia knee joint nerve block postoperative pain tourniquets ultrasonography Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/97b9376107994c7cb2589a0264a5444b
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spelling	oai:doaj.org-article:97b9376107994c7cb2589a0264a5444b2021-11-30T23:47:49ZA comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study2005-64192005-756310.4097/kja.21040https://doaj.org/article/97b9376107994c7cb2589a0264a5444b2021-12-01T00:00:00Zhttp://ekja.org/upload/pdf/kja-21040.pdfhttps://doaj.org/toc/2005-6419https://doaj.org/toc/2005-7563Background Adductor canal block (ACB) provides effective analgesia after arthroscopic knee surgery. However, there is insufficient data regarding whether ACB should be performed before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB performed before and after placement of a thigh tourniquet and evaluate associated quadriceps motor weakness. Methods ACB was performed before tourniquet inflation in the PreT group, and it was performed after inflation in the PostT group. In the PO group, ACB was performed at the end of surgery after deflation of the tourniquet. Results There were no statistically significant differences between the groups in terms of demographic data. There was no statistically significant difference among the three groups in terms of total postoperative opioid consumption (P = 0.513). Patient satisfaction and the amount of rescue analgesia administered were also not significantly different between the groups. There was no significant difference in terms of static and dynamic visual analog scale scores between the groups (for 24 h: P = 0.306 and P = 0.271, respectively). The incidence of motor block was higher in the PreT group (eight patients) than in the PostT group (no patients) and the PO group (one patient) (P = 0.005). Conclusions Using a tourniquet before or after ACB did not result in differences in terms of analgesia quality; however, applying a tourniquet immediately after ACB may lead to quadriceps weakness.Mursel EkinciBahadir CiftciYavuz DemiraranErkan Cem CelikMurat YayikBurak OmurErsin KuyucuYunus Oktay AtalayKorean Society of Anesthesiologistsarticleconduction anesthesiaknee jointnerve blockpostoperative paintourniquetsultrasonographyAnesthesiologyRD78.3-87.3ENKorean Journal of Anesthesiology, Vol 74, Iss 6, Pp 514-521 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	conduction anesthesia knee joint nerve block postoperative pain tourniquets ultrasonography Anesthesiology RD78.3-87.3
spellingShingle	conduction anesthesia knee joint nerve block postoperative pain tourniquets ultrasonography Anesthesiology RD78.3-87.3 Mursel Ekinci Bahadir Ciftci Yavuz Demiraran Erkan Cem Celik Murat Yayik Burak Omur Ersin Kuyucu Yunus Oktay Atalay A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
description	Background Adductor canal block (ACB) provides effective analgesia after arthroscopic knee surgery. However, there is insufficient data regarding whether ACB should be performed before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB performed before and after placement of a thigh tourniquet and evaluate associated quadriceps motor weakness. Methods ACB was performed before tourniquet inflation in the PreT group, and it was performed after inflation in the PostT group. In the PO group, ACB was performed at the end of surgery after deflation of the tourniquet. Results There were no statistically significant differences between the groups in terms of demographic data. There was no statistically significant difference among the three groups in terms of total postoperative opioid consumption (P = 0.513). Patient satisfaction and the amount of rescue analgesia administered were also not significantly different between the groups. There was no significant difference in terms of static and dynamic visual analog scale scores between the groups (for 24 h: P = 0.306 and P = 0.271, respectively). The incidence of motor block was higher in the PreT group (eight patients) than in the PostT group (no patients) and the PO group (one patient) (P = 0.005). Conclusions Using a tourniquet before or after ACB did not result in differences in terms of analgesia quality; however, applying a tourniquet immediately after ACB may lead to quadriceps weakness.
format	article
author	Mursel Ekinci Bahadir Ciftci Yavuz Demiraran Erkan Cem Celik Murat Yayik Burak Omur Ersin Kuyucu Yunus Oktay Atalay
author_facet	Mursel Ekinci Bahadir Ciftci Yavuz Demiraran Erkan Cem Celik Murat Yayik Burak Omur Ersin Kuyucu Yunus Oktay Atalay
author_sort	Mursel Ekinci
title	A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
title_short	A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
title_full	A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
title_fullStr	A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
title_full_unstemmed	A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
title_sort	comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study
publisher	Korean Society of Anesthesiologists
publishDate	2021
url	https://doaj.org/article/97b9376107994c7cb2589a0264a5444b
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A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study

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