Evidence map›Paper›PMID 24719708›Full record

ArticleIranian Red Crescent medical journal2014

Pain Management for Total Knee Arthroplasty: Single-Injection Femoral Nerve Block versus Local Infiltration Analgesia.

Mehdi Moghtadaei, Hossein Farahini, Seyed Hamid-Reza Faiz, Farzam Mokarami, Saeid Safari

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Iranian Red Crescent medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03025594 (Gonyautoxins Local Periarticular Injection for Pain Management After Total Knee Arthroplasty), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03025594 phase3unknown statusnot on this mapstarted 2017, after this paper: background citation

Gonyautoxins Local Periarticular Injection for Pain Management After Total Knee Arthroplasty: A Double Blind Randomized Study

TypeinterventionalSponsormaximiliano barahona vasquezRan2017 to 2017Enrolled64ConditionsKnee Arthroplasty, Pain ManagementArmsGonyautoxins, Chirocaine ketorolac epinephrine
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Mehdi MoghtadaeiDepartment of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Hossein FarahiniDepartment of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Seyed Hamid-Reza FaizDepartment of Anesthesiology and Pain Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Farzam MokaramiDepartment of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Saeid SafariDepartment of Anesthesiology and Pain Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran.
Iran University of Medical Sciences · IRRasool Akram Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain is one of the major concerns of patients underwent Total Knee Arthroplasty (TKA); appropriate pain management is a key factor in patient's early physical fitness to move, physiotherapy, and most importantly, patient satisfaction.

objectivesIn this study the analgesic effect of single injection femoral nerve block (SFNB) was compared with local infiltration analgesia (LIA). PATIENTS AND

methodsForty patients who underwent TKA under spinal anesthesia were randomized to receive single femoral nerve block (group F) or intra-periarticular infiltration (group I). Group F received single injection 20cc ropivacaine (10mg/cc) and in group I, a combination of 300mg ropivacaine, 30mg ketorolac and 0.5mg epinephrine diluted to a volume of 150cc and locally injected in and around the knee joint in 3 stages. Postoperative pain intensity measured by Visual Analog Scale (VAS). Morphine consumption, mobilization time and patients' satisfaction evaluated as well.

resultsGroup I had significantly lower morphine consumption in the first postoperative day (10 vs. 12.5mg, P-value < 0.05). Within 6 hours postoperatively, VAS score was statistically lower in group I compared to group F (3 vs. 4, P-value < 0.05). However, within 12 hours it was statistically higher in group I than group F (6 vs. 5, P-value < 0.05). Other parameters were not statistically different in two groups.

conclusionsBoth methods LIA and SFNB provided excellent pain relief and lower morphine consumption following TKA. LIA is a surgeon-controlled analgesic technique, which can be used to enhance patients' satisfaction and reduce the pain in the very early postoperative period by surgeon independently.

Indexed as

AnalgesiaFemoral Nerve BlockLocal Infiltration AnalgesiaMorphine

Identifiers

PMID24719708
PMCPMC3964426
OpenAlexW2104631455

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.