Journal article

Peripheral nerve blocks versus general anesthesia for total knee replacement in elderly patients on the postoperative quality of recovery

JunLe Liu, WeiXiu Yuan, XiaoLin Wang, Colin F Royse, MaoWei Gong, Ying Zhao, Hong Zhang

CLINICAL INTERVENTIONS IN AGING | DOVE MEDICAL PRESS LTD | Published : 2014

Abstract

BACKGROUND: Both peripheral nerve blocks with sedation or general anesthesia can be used for total knee replacement surgery. OBJECTIVES: We compared these anesthetic techniques on the postoperative quality of recovery early in elderly patients. MATERIALS AND METHODS: In our study, 213 patients who were ≥65 years old and undergoing total knee replacement were randomized to peripheral nerve blocks (PNBs) - lumbar plexus and sciatic - with propofol sedation, or general anesthesia with combined propofol and remifentanil. Blocks were performed using nerve stimulation and 0.35% ropivacaine. All patients received postoperative multimodal analgesia. Postoperative recovery was assessed at 15 minutes,..

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