Analgesia of Ultrasound-guided Single-dose Adductor Canal Block with Dexmedetomidine Combined with Ropivacaine after Patella Fracture Surgery in Adults

Yue LU; Changming QIU; Yunli YANG; Zhiguo HUANG; Zhigui LI; Weiqing MA; Na LI

doi:10.12259/j.issn.2095-610X.S20220613

Volume 43 Issue 6

Jun. 2022

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Yue LU, Changming QIU, Yunli YANG, Zhiguo HUANG, Zhigui LI, Weiqing MA, Na LI. Analgesia of Ultrasound-guided Single-dose Adductor Canal Block with Dexmedetomidine Combined with Ropivacaine after Patella Fracture Surgery in Adults[J]. Journal of Kunming Medical University, 2022, 43(6): 68-73. doi: 10.12259/j.issn.2095-610X.S20220613

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Yue LU, Changming QIU, Yunli YANG, Zhiguo HUANG, Zhigui LI, Weiqing MA, Na LI. Analgesia of Ultrasound-guided Single-dose Adductor Canal Block with Dexmedetomidine Combined with Ropivacaine after Patella Fracture Surgery in Adults[J]. Journal of Kunming Medical University, 2022, 43(6): 68-73. doi: 10.12259/j.issn.2095-610X.S20220613

Citation:

Yue LU, Changming QIU, Yunli YANG, Zhiguo HUANG, Zhigui LI, Weiqing MA, Na LI. Analgesia of Ultrasound-guided Single-dose Adductor Canal Block with Dexmedetomidine Combined with Ropivacaine after Patella Fracture Surgery in Adults[J]. Journal of Kunming Medical University, 2022, 43(6): 68-73. doi: 10.12259/j.issn.2095-610X.S20220613

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Analgesia of Ultrasound-guided Single-dose Adductor Canal Block with Dexmedetomidine Combined with Ropivacaine after Patella Fracture Surgery in Adults

doi: 10.12259/j.issn.2095-610X.S20220613

1.
Kunming Medical University，Kunming，Yunnan 650500
2.
Dept. of Anesthesiology，920th Hospital of Joint Logistics Support Force，Kunming Yunnan 650100，China

Received Date: 2022-02-26
Available Online: 2022-06-07
Publish Date: 2022-06-30

Abstract

Abstract

Objective To compare the analgesic effect between ultrasound-guided single-dose adductor canal block with dexmedetomidine combined with ropivacaine and continuous femoral nerve block with ropivacaine after patella fracture surgery. Methods 31 patients with patella fractures who underwent elective general anesthesia, with age ranging from 21 to 69, BMI ≤ 35 kg/m², ASA grading Ⅰ～Ⅲ, were randomly divided into two groups. Single-dose adductor canal block group who received 100 μg dexmedetomidine combined with 0.25% ropivacaine 50 mg （A group, n = 21）, and continuous femoral nerve block group who received 0.25% ropivacaine 250 mg （F group, n = 10）. The scores regarding analgesia, sedation, and muscle strength at 6, 8, 12, 24, 36 and 48 h after surgery were observed and compared between the two groups and the additional postoperative analgesia and adverse reactions were recorded. Results The analgesic effect, postoperative scores based on sedation and muscle strength were not statistically different between the two groups at various points during the observation period （P > 0.05）. Conclusion Single-dose adductor canal block with dexmedetomidine combined with ropivacaine can provide good analgesia after patella fracture surgery.
- Adductor canal nerve block,
- Dexmedetomidine,
- Ropivacaine,
- Patellar fracture,
- Analgesia,
- Ultralsound guidance

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References

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