Evidence map›Paper›PMID 32317836›Full record

ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2020

Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty.

Giovanni Cappiello, Lawrence Camarda, Giuseppe Pulito, Andrea Tarantino, Daniela Di Martino, Valentina Russi, Leonardo Stramazzo, Clara Ragusa, Gianmarco Guarino, Umberto Ripani

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

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  5. Review
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

10 authors at 1 institution in 1 country.

Giovanni CappielloDepartment of Anesthesia, Analgesia and Intensive Care, Vito Fazzi Hospital, Lecce, Italy.
Lawrence CamardaDepartment of Orthopaedic and Traumatology (DICHIRONS), University of Palermo, Palermo, Italy.
Giuseppe PulitoDepartment of Anesthesia, Analgesia and Intensive Care, Vito Fazzi Hospital, Lecce, Italy.
Andrea TarantinoDepartment of Anesthesia, Analgesia and Intensive Care, Vito Fazzi Hospital, Lecce, Italy.
Daniela Di MartinoDepartment of Anesthesia, Analgesia and Intensive Care, Vito Fazzi Hospital, Lecce, Italy.
Valentina RussiDepartment of Orthopaedic and Traumatology (DICHIRONS), University of Palermo, Palermo, Italy.
Leonardo StramazzoDepartment of Orthopaedic and Traumatology (DICHIRONS), University of Palermo, Palermo, Italy.
Clara RagusaDepartment of Biopathology and Medical and Forensic Biotechnologies (DIBIMEF), Section of Anaesthesiology, Analgesia, Emergency and Intensive Care, Policlinico "P. Giaccone," University of Palermo, Palermo, Italy.
Gianmarco GuarinoDepartment of Anesthesia, Analgesia and Intensive Care, Vito Fazzi Hospital, Lecce, Italy.
Umberto RipaniPain Therapy Center, Division of Anesthesia, Analgesia and Intensive Care, Department of Emergency, Ospedali Riuniti di Ancona, Ancona, Italy.
Ospedale Vito Fazzi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative pain management in the total knee replacement (TKR) represent a fundamental step for a positive outcome, allowing rapid mobilization, already on the first day. Further, continuous peripheral nerve block techniques have been reported to allow effective and safe control of acute postoperative pain, ensuring the implementation and completion of an accurate and intensive joint rehabilitation program.

aimThe aim of this study was to assess early mobility and compliance of patients that underwent TKR surgery using the femoral block.

methodsFor the study, all patients that underwent TKR from 2015 to 2018 with ASA score between II-III was evaluated. Patients underwent vital parameters monitoring and were treated initially with midazolam (0.05mg / kg) e.v. combined sciatic block + femoral perineural catheter positioning using a peripheral nerve stimulation-assisted technique.

resultsIntraoperatively, satisfactory analgesia was guaranteed in all patients, associated with a complete muscle relaxation of the affected limb. High patient compliance, associated with good control of acute postoperative pain was obtained in the first 24 hours after surgery (VAS 0- 1). The ROM outcomes were good in all rehabilitation stages, managing to reach 90 degrees bending on the seventh day with an average KSS score of 88-90. Patient satisfaction and impact on quality of life were assessed with the SF-36 showing average scores of 78.

conclusionContinuous femoral nerve blocking ensures good postoperative analgesia in TKR allowing an early joint mobilization, a rapid functional recovery of the knee and increasing patient compliance during the post-operative rehabilitation program.

Indexed as

AgedAged, 80 and overAnalgesia, Patient-ControlledArthroplasty, Replacement, KneeCatheterizationEarly AmbulationFemaleHumansKnee JointMaleMiddle AgedNerve BlockPostoperative PainAnesthesiaContinuous femoral blockKnee ArthroplastyLoco-Regional TreatmentOutcomes

Identifiers

PMID32317836
PMCPMC7164727
OpenAlexW3011685176

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.