Comparison of femoral nerve block and fascia iliaca block for analgesia following reconstructive knee surgery in adolescents.
OBJECTIVE
To compare the femoral nerve block with the fascia iliaca block for postoperative analgesia in adolescents undergoing reconstructive knee surgery.


METHODS
Randomized, single-blinded study.


METHODS
Full-service pediatric medical center.


METHODS
23 ASA physical status I and II patients, aged 8 to 16 years, undergoing anterior cruciate ligament (ACL) repair.


METHODS
Patients received either fascia iliaca or femoral nerve block prior to reconstructive surgery.


METHODS
Pain scores by visual analog scale (VAS; 0-10) and morphine use were routinely recorded through to discharge from the hospital. Pain scores were assessed on days 1 and 2 at home post-discharge.


RESULTS
There was no difference between the femoral nerve block and the fascia iliaca nerve block in VAS pain scores or postoperative morphine consumption.


CONCLUSIONS
Either the femoral nerve block or the fascia iliaca block, followed by patient-controlled analgesia with morphine, provides efficacious analgesia for adolescents undergoing ACL reconstruction.
Farid
Ibrahim S
IS
Department of Anesthesia and Pain Management, Akron Children's Hospital, Akron, OH 44308, USA. ifarid@chmca.org
Heiner
Elizabeth J
EJ
Fleissner
Paul R
PR
D000293:Adolescent; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use*; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D002648:Child; D005205:Fascia; D005267:Femoral Nerve; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D009020:Morphine / Q000627:therapeutic use; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain; D019651:Plastic Surgery Procedures / Q000379:methods*; D016037:Single-Blind Method
D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D009020:Morphine