Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block.

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Abstract Text:

Ibrahim Turan,Hamid Assareh,Christer Rolf,Jan Jakobsson,

ABSTRACT: BACKGROUND: Pain and emesis are the two major complaints after day case surgery. Local anaesthesia has become an important part of optimizing intra and post-operative pain treatment, but is sometimes not entirely sufficient. The aim of the present study was to study the effect of adding an ankle block to a multi-modal analgesic approach on the first 24-hour-need for rescue analgesia in patients undergoing elective Hallux Valgus surgery. TYPE OF STUDY: Prospective, randomized patient-blind study comparing ankle block with levo-bupivacaine, lidocaine and Saline placebo control. METHODS: Ninety patients were studied comparing ankle block (15 cc) using levo-bupivacaine 2.5 mg/ml, lidocaine 10 mg/ml or placebo (saline) on day-case elective Hallux Valgus surgery, supported by general anaesthesia in all cases. Primary study endpoint was number of patient's requiring oral analgesics during the first 24 post-operative hours. RESULTS: Ankle block had no effect on need for rescue analgesia and pain ratings during the 1st 24 postoperative hours, there was no difference seen between placebo and any of the two active local anaesthesia studied. The only differences seen was that both lidocaine and levo-bupivacaine reduced the intra-operative need for anaesthetic (sevoflurane) and that levo-bupivacaine patients had a lower need as compared to the lidocaine patients for oral analgesics during the afternoon of surgery. CONCLUSION: Adding a single shot ankle block to a multi-modal pain management strategy reduces the need for intra-operative anaesthesia but has no major impact of need of rescue analgesics or pain during the first 24-hour after surgery.

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Publishing Authors By Initials

I Turan,H Assareh,C Rolf,J Jakobsson,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of orthopaedic surgery and research

VOLUME: 2

Page Numbers: 26

Journal Abbreviation:

ISSN: 1749-799X

DAY: 18

MONTH: 12

YEAR: 2007

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101265112

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block.

AFFILIATION: Karolinska Institutet, Foot & Ankle Surgical Centre, Stockholm, Sweden. jan.jakobsson@ki.se.

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Orthop Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block Related Publications

• Children in day surgery: clinical practice and routines. The results from a nation-wide survey.
• Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey.
• Comparison of anoxic changes in isolated rat cardiac myocytes in suspension and in histological sections.
• Creatine supplementation and physical training in patients with COPD: a double blind, placebo-controlled study.
• Day surgery: an evidenced-based practice.
• Development of immunoglobulin G and immunoglobulin E antibodies to cow's milk proteins and ovalbumin after a temporary neonatal exposure to hydrolyzed and whole cow's milk proteins.
• Digestion of milk proteins in infancy.
• Effects of immunosuppressive treatment on microsomal prostaglandin E synthase 1 and cyclooxygenases expression in muscle tissue of patients with polymyositis or dermatomyositis.
• End-point targeted molecular dynamics: large-scale conformational changes in potassium channels.
• Health aspects among personnel working with nitrous oxide for procedural pain management in children.
• Histologic grading of malignancy and prognosis in glottic carcinoma of the larynx.
• Intestinal permeability in children of different ages and with different gastrointestinal diseases.
• Is vision screening in 3-year-old children feasible? Comparison between the Lea Symbol chart and the HVOT (LM) chart.
• Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block.
• On recurrent dislocation of the shoulder-joint; a contribution to its pathomechanics and the results of Eden/Hybbinette's bone-block operation.
• Polybrominated Diphenyl Ethers (PBDEs) and Bioaccumulative Hydroxylated PBDE Metabolites in Young Humans from Managua, Nicaragua.
• Quantitative membrane proteomics applying narrow range peptide isoelectric focusing for studies of small cell lung cancer resistance mechanisms.
• Sevoflurane requirement during elective ankle day surgery: the effects of etirocoxib premedication, a prospective randomised study.
• The ADL-staircase: further validation.
• The effect of alloxan on kidney cortex microsomes.
• The effect of lipid peroxidation on liver microsomes.
• The relationship between homozygosity and the frequency of the most frequent allele.
• Trait anxiety and modeled exposure as determinants of self-reported annoyance to sound, air pollution and other environmental factors in the home.
• Using the 12-item Short Form health survey (SF-12) to measure quality of life among older people.
• Vesico-ureteric reflux: occurrence and long-term risks.
• [Not Available.]
• [Not Available.]