A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: A randomized, blinded study

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dc.authorid0000-0002-5580-5960
dc.authorid0000-0002-3245-6614
dc.authorid0000-0003-0811-4945
dc.authorid0000-0001-8012-9792
dc.authorid0000-0003-3976-9530
dc.authorid0000-0001-9928-9956
dc.contributor.authorEkinci, Mürsel
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorÇelik, Erkan Cem
dc.contributor.authorYayık, Murat
dc.contributor.authorÖmür, Burak
dc.contributor.authorKuyucu, Ersin
dc.contributor.authorAtalay, Yunus Oktay
dc.date.accessioned2021-11-02T08:52:52Z
dc.date.available2021-11-02T08:52:52Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: Adductor canal block (ACB) provides effective analgesia management after arthroscopic knee surgery. However, there is insufficient data about performing ACB before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB when it is performed before and after thigh tourniquet and evaluate motor weakness. Methods: ACB was performed before the tourniquet inflation in the PreT group, it was performed after the inflation of the tourniquet in the PostT group. In the PO group, ACB was performed at the end of surgery after disinflation of the tourniquet. Results: There were no statistical differences between the groups in terms of demographic data. Opioid consumption showed no statistically significant differences (for total consumption; p = 0.5). The amount of rescue analgesia administered and patient satisfaction were also not significantly different between groups. There was no significant difference in terms of static and dynamic VAS scores between groups (for 24 hours; p = 0.3, p = 0.2 respectively). The incidence of motor block was higher in the PreT group (eight patients) than in the PostT group (no patients) and in the PO group (only one patient) (p = 0.005). Conclusions: Using a tourniquet before or after ACB may not result in any differences in terms of analgesia; however, applying a tourniquet immediately after ACB may lead to muscle weakness.
dc.identifier.citationEkinci, M., Çiftçi, B., Demiraran, Y., Çelik, E. C., Yayık, M., Ömür, B. ... Atalay, Y. O. (2021). A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: A randomized, blinded study. Korean Journal of Anesthesiology, 74(6), 514-521. https://dx.doi.org/10.4097/kja.21040
dc.identifier.doi10.4097/kja.21040
dc.identifier.endpage521
dc.identifier.issn2005-6419
dc.identifier.issn2005-7563
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage514
dc.identifier.urihttps://dx.doi.org/10.4097/kja.21040
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8541
dc.identifier.volume74
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Society of Anesthesiologists
dc.relation.ispartofKorean Journal of Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectAdductor Canal Block
dc.subjectKnee Arthroscopy
dc.subjectMotor Weakness
dc.subjectPostoperative Analgesia
dc.subjectRegional Anesthesia
dc.subjectThigh Tourniquet
dc.titleA comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: A randomized, blinded study
dc.typeArticle

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