BACKGROUND AND OBJECTIVES: Efficacy and technical aspects of continuous 3-in-1 and fascia iliaca compartment blocks were compared. METHODS: Forty-four @entity1 scheduled for cruciate ligament repair or femur surgery were randomly divided into 2 groups. After surgery with the @entity1 anesthetized, catheters were placed for continuous 3-in-1 blocks by means of a nerve stimulator (group 1). In group 2, the catheter was inserted for continuous fascia iliaca compartment block without the use of a nerve stimulator. In both groups, a 5-mg/kg bolus of 0.5% @entity1342 was administered followed by continuous infusion of 0.1 mL/kg/h of 0.2% @entity1342 for 48 hours. In the postoperative period, all the @entity1 received parenteral @entity11622 (6 g daily) and @entity7988 (200 mg daily) and 0.1 mg/kg of subcutaneous @entity1286 as rescue @entity1337 if the visual analog scale (VAS) @entity158 values were greater than 30 mm. We evaluated the technical difficulties relative to catheter placement, the location of the catheter, the analgesic efficacy, and the distribution of the sensory block at 1 hour, 24 hours, and 48 hours. RESULTS: Catheter placement was faster in group 2, and the absence of nerve stimulation decreased material costs (P <.05). No significant difference was observed between groups concerning location of the catheter tip under the fascia iliaca. In both groups, the distribution of the sensory block and its course were similar except for those of the obturator nerve (more sensory blocks in group 1, P <.05). No significant difference was noted between the groups regarding median VAS @entity158 values and consumption of @entity1286 during the 48-hour period. No major side effect was observed. CONCLUSIONS: The authors conclude that a catheter for continuous lumbar plexus block can be placed more quickly and at lesser cost using the fascia iliaca technique than the perivascular technique with equivalent postoperative analgesic efficacy.

Comparison of continuous 3-in-1 and fascia Iliaca compartment blocks for postoperative XXXX : feasibility, catheter migration, distribution of sensory block, and analgesic efficacy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity7988 :: ('MESH:D007660', 'Chemical') :: ['ketoprofen'] @entity11622 :: ('MESH:C063776', 'Chemical') :: ['propacetamol'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity1342 :: ('MESH:C037663', 'Chemical') :: ['ropivacaine'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity1337 :: (MESH:D000699,Disease) :: ['analgesia']
