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The value of continuous blockade of the lumbar plexus as an adjunct to acetylsalicyclic acid for pain relief after surgery for femoral neck fractures

Published online by Cambridge University Press:  04 August 2006

N. L. M. Spansberg
Affiliation:
Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, DK-8000 Århus C, Denmark
E. Anker-Møller
Affiliation:
Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, DK-8000 Århus C, Denmark
J. B. Dahl
Affiliation:
Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, DK-8000 Århus C, Denmark
P. Schultz
Affiliation:
Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, DK-8000 Århus C, Denmark
E. F. Christensen
Affiliation:
Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, DK-8000 Århus C, Denmark
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Abstract

In a randomized, double-blind investigation the analgesic effect of continuous blockade of the lumbar plexus as an adjunct to acetylsalicyclic acid by suppository after surgery for femoral neck fractures under spinal anaesthesia was examined in 20 patients. Before surgery, a catheter was inserted into the femoral nerve sheath. The patients were allocated randomly to receive bupivacaine or saline by bolus and then continuous infusion, started immediately after the operation. No statistically significant differences in additional morphine requirements, visual analogue pain scores or adverse effects were observed between the two treatment groups. It is concluded that continuous blockade of the lumbar plexus as an adjunct to rectal acetylsalicyclic acid offers no major additional pain relief after surgery for femoral neck fractures under spinal anaesthesia.

Type
Original Article
Copyright
1996 European Society of Anaesthesiology

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