title: The value of continuous blockade of the lumbar plexus as an adjunct to acetylsalicyclic acid for pain relief after surgery for femoral neck fractures.
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.
authors.affiliation: Department of Anaesthesiology, Aarhus Amtssygehus, University Hospital of Aarhus, Denmark.
authors.forename: N L
authors.initials: NL
authors.lastname: Spansberg
authors.forename: E
authors.initials: E
authors.lastname: Anker-Møller
authors.forename: J B
authors.initials: JB
authors.lastname: Dahl
authors.forename: P
authors.initials: P
authors.lastname: Schultz
authors.forename: E F
authors.initials: EF
authors.lastname: Christensen
mesh_terms: D000285:Administration, Rectal; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000008:administration & dosage*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D001241:Aspirin / Q000008:administration & dosage / Q000627:therapeutic use; D002045:Bupivacaine / Q000008:administration & dosage*; D002404:Catheterization; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005267:Femoral Nerve; D006801:Humans; D007273:Injections, Intramuscular; D007275:Injections, Intravenous; D008160:Lumbosacral Plexus; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage / Q000627:therapeutic use; D009407:Nerve Block; D009441:Neurilemma; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D013488:Suppositories
chemical_list: D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal; D013488:Suppositories; D009020:Morphine; D001241:Aspirin; D002045:Bupivacaine