The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Kjeld Soballe - One of the best experts on this subject based on the ideXlab platform.
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comparison of peri and Intraarticular analgesia with femoral nerve block after total knee arthroplasty a randomized clinical trial
Acta Orthopaedica, 2007Co-Authors: Karen Toftdahl, Lone Nikolajsen, Viggo Haraldsted, Frank Madsen, E Tonnesen, Kjeld SoballeAbstract:Background Postoperative pain after total knee arthroplasty (TKA) can be difficult to manage and may delay recovery. Recent studies have suggested that periarticular infiltration with local anesthetics may improve outcome.Methods 80 patients undergoing TKA under spinal anesthesia were randomized to receive continuous femoral nerve block (group F) or peri- and Intraarticular infiltration and injection (group I). Group I received a solution of 300 mg ropivacaine, 30 mg ketorolac, and 0.5 mg epinephrine by infiltration of the knee at the end of surgery, and 2 postoperative injections of these substances through an Intraarticular catheter.Results More patients in group I than in group F could walk < 3 m on the first postoperative day (29/39 vs. 7/37, p < 0.001). Group I also had significantly lower pain scores during activity and lower consumption of opioids on the first postoperative day. No differences between groups were seen regarding side effects or length of stay.Interpretation Peri- and Intraarticular ...
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reduced hospital stay and narcotic consumption and improved mobilization with local and Intraarticular infiltration after hip arthroplasty a randomized clinical trial of an Intraarticular technique versus epidural infusion in 80 patients
Acta Orthopaedica, 2007Co-Authors: Karen V Andersen, Viggo Haraldsted, Mogens Pfeifferjensen, Kjeld SoballeAbstract:Background Epidural analgesia gives excellent pain relief but is associated with substantial side effects. We compared wound infiltration combined with Intraarticular injection of local anesthetics for pain relief after total hip arthroplasty (THA) with the well-established practice of epidural infusion.Methods 80 patients undergoing elective THA under spinal block were randomly assigned to receive either (1) continuous epidural infusion (group E) or (2) infiltration around the hip joint with a mixture of 100 mL ropivacaine 2 mg/mL, 1 mL ketorolac 30 mg/mL, and 1 mL epinephrine 0.5 mg/mL at the conclusion of surgery combined with one postoperative Intraarticular injection of the same substances through an Intraarticular catheter (group A).Results Narcotic consumption was significantly reduced in group A compared to group E (p = 0.004). Pain levels at rest and during mobilization were similar in both groups but significantly reduced in group A after cessation of treatment. Length of stay was reduced by 2 d...
Arthur K Walling - One of the best experts on this subject based on the ideXlab platform.
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operative treatment in 120 displaced Intraarticular calcaneal fractures results using a prognostic computed tomography scan classification
Clinical Orthopaedics and Related Research, 1993Co-Authors: Roy Sanders, P Fortin, Thomas Dipasquale, Arthur K WallingAbstract:From January 1987 to September 1990, 132 displaced Intraarticular calcaneal fractures were treated operatively using a lateral approach, lag screws, and side plate without bone graft. To evaluate the results, a classification for Intraarticular calcaneal fractures was developed, based on standardize
Roy A Greengrass - One of the best experts on this subject based on the ideXlab platform.
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interscalene brachial plexus block with continuous Intraarticular infusion of ropivacaine
Anesthesia & Analgesia, 2001Co-Authors: Stephen M Klein, Karen C Nielsen, Aliki Martin, William D White, David S Warner, Susan M Steele, Kevin P Speer, Roy A GreengrassAbstract:Providing Intraarticular analgesia with a continuous infusion of local anesthetic via a disposable infusion pump has gained popularity. Despite the prevalence of this technique, data comparing this method of analgesia to conventional regional anesthesia are not available. We present a prospective study that compared a single-dose interscalene block with a single-dose interscalene block plus continuous Intraarticular infusion of local anesthetic. Forty patients scheduled for shoulder arthroscopy were entered in this prospective, double-blinded study. All patients received an interscalene brachial plexus block as their primary anesthetic. Patients were randomly assigned to 1 of 2 groups: 1. interscalene block with 1.5% mepivacaine (40 mL) followed by a postoperative Intraarticular infusion of 0.5% ropivacaine at 2 mL/h, or 2. interscalene block with 0.5% ropivacaine (40 mL) followed by a postoperative Intraarticular infusion of 0.9% saline (placebo) at 2 mL/h. Postoperative infusions were maintained for 48 h. Visual analog scale pain scores and postoperative oxycodone consumption were measured for 48 h. Visual analog scale scores at rest and with ambulation in the Mepivacaine/Intraarticular Ropivacaine group were reduced when compared with the Ropivacaine/Saline group (rest: P = 0.003, ambulation: P = 0.006). Oxycodone consumption was also decreased (28 ± 21 mg vs 44 ± 28 mg, P = 0.046), respectively. We conclude that a brachial plexus block with 1.5% mepivacaine and a continuous Intraarticular infusion of 0.5% ropivacaine at 2 mL/h provides improved analgesia for minor surgery at 24 and 48 h versus a single-injection interscalene block with 0.5% ropivacaine.
Viggo Haraldsted - One of the best experts on this subject based on the ideXlab platform.
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comparison of peri and Intraarticular analgesia with femoral nerve block after total knee arthroplasty a randomized clinical trial
Acta Orthopaedica, 2007Co-Authors: Karen Toftdahl, Lone Nikolajsen, Viggo Haraldsted, Frank Madsen, E Tonnesen, Kjeld SoballeAbstract:Background Postoperative pain after total knee arthroplasty (TKA) can be difficult to manage and may delay recovery. Recent studies have suggested that periarticular infiltration with local anesthetics may improve outcome.Methods 80 patients undergoing TKA under spinal anesthesia were randomized to receive continuous femoral nerve block (group F) or peri- and Intraarticular infiltration and injection (group I). Group I received a solution of 300 mg ropivacaine, 30 mg ketorolac, and 0.5 mg epinephrine by infiltration of the knee at the end of surgery, and 2 postoperative injections of these substances through an Intraarticular catheter.Results More patients in group I than in group F could walk < 3 m on the first postoperative day (29/39 vs. 7/37, p < 0.001). Group I also had significantly lower pain scores during activity and lower consumption of opioids on the first postoperative day. No differences between groups were seen regarding side effects or length of stay.Interpretation Peri- and Intraarticular ...
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reduced hospital stay and narcotic consumption and improved mobilization with local and Intraarticular infiltration after hip arthroplasty a randomized clinical trial of an Intraarticular technique versus epidural infusion in 80 patients
Acta Orthopaedica, 2007Co-Authors: Karen V Andersen, Viggo Haraldsted, Mogens Pfeifferjensen, Kjeld SoballeAbstract:Background Epidural analgesia gives excellent pain relief but is associated with substantial side effects. We compared wound infiltration combined with Intraarticular injection of local anesthetics for pain relief after total hip arthroplasty (THA) with the well-established practice of epidural infusion.Methods 80 patients undergoing elective THA under spinal block were randomly assigned to receive either (1) continuous epidural infusion (group E) or (2) infiltration around the hip joint with a mixture of 100 mL ropivacaine 2 mg/mL, 1 mL ketorolac 30 mg/mL, and 1 mL epinephrine 0.5 mg/mL at the conclusion of surgery combined with one postoperative Intraarticular injection of the same substances through an Intraarticular catheter (group A).Results Narcotic consumption was significantly reduced in group A compared to group E (p = 0.004). Pain levels at rest and during mobilization were similar in both groups but significantly reduced in group A after cessation of treatment. Length of stay was reduced by 2 d...
Karen Toftdahl - One of the best experts on this subject based on the ideXlab platform.
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comparison of peri and Intraarticular analgesia with femoral nerve block after total knee arthroplasty a randomized clinical trial
Acta Orthopaedica, 2007Co-Authors: Karen Toftdahl, Lone Nikolajsen, Viggo Haraldsted, Frank Madsen, E Tonnesen, Kjeld SoballeAbstract:Background Postoperative pain after total knee arthroplasty (TKA) can be difficult to manage and may delay recovery. Recent studies have suggested that periarticular infiltration with local anesthetics may improve outcome.Methods 80 patients undergoing TKA under spinal anesthesia were randomized to receive continuous femoral nerve block (group F) or peri- and Intraarticular infiltration and injection (group I). Group I received a solution of 300 mg ropivacaine, 30 mg ketorolac, and 0.5 mg epinephrine by infiltration of the knee at the end of surgery, and 2 postoperative injections of these substances through an Intraarticular catheter.Results More patients in group I than in group F could walk < 3 m on the first postoperative day (29/39 vs. 7/37, p < 0.001). Group I also had significantly lower pain scores during activity and lower consumption of opioids on the first postoperative day. No differences between groups were seen regarding side effects or length of stay.Interpretation Peri- and Intraarticular ...
