Adductor canal block is superior to intravenous analgesia for multimodal postoperative pain management in anterior cruciate ligament reconstruction | [Anaesthesia, Pain and Intensive Care • 2022]

Author(s):

1. Ristiawan Muji Laksono: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

2. Isngadi Isngadi: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

3. Taufiq Agus Siswagama: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

4. Haris Darmawan: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

5. Aswoco Andyk Asmoro: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

6. Djudjuk Rahmad Basuki: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital,Malang,Indonesia

Abstract:

Background & objectives: Postoperative pain after reconstruction of the anterior cruciate ligament (ACL) is a source of psychological and physiological consequences, and it might be a precursor of chronic pain. We compared the effects of intravenous analgesia technique and the adductor canal block as multimodal pain management after ACL reconstruction. Methodology: A prospective, comparative study was conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia. A total of 30 patients undergoing ACL reconstruction were randomly divided into two groups; Group IV received intravenous analgesia (n = 15), and Group ACB received adductor canal block (n = 15). The numerical rating scale (NRS), the length of hospital stay, and the use of rescue analgesic dose were measured until the third postoperative day. Data were analyzed using the independent T-test using SPSS 18.0. Results: The NRS-rest and NRS-movement of the ACB group were significantly lower than in Group IV (p 0.05). Conclusions: The adductor canal block technique is better used as multimodal pain management than intravenous analgesia for postoperative pain after anterior cruciate ligament reconstruction under spinal anesthesia with lower numerical rating scale scores at-rest and on-movement.

Page(s): 211-216

DOI: 10.35975/apic.v26i2.1817

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 26, Issue: 2, Year: 2022

Keywords:

Postoperative pain , Anterior cruciate ligament reconstruction , Adductor canal block , Intravenous analgesia

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