Literature DB >> 18358371

Thromboprophylaxis and peripheral nerve blocks in patients undergoing joint arthroplasty.

Jacques E Chelly1, Dennis Schilling.   

Abstract

This study was designed to assess the risk of hematoma related to the combination of peripheral nerve blocks and thromboprophylaxis. A total of 3588 patients undergoing joint arthroplasty were included. Blocks performed included continuous lumbar plexus, continuous femoral, and continuous or single sciatic. The perineural catheters were removed on postoperative days 2 or 3. A total of 6935 blocks were performed in patients receiving warfarin (50.0%), fondaparinux (12.8%), deltaparin (11.6%), enoxaparin (1.8%), and aspirin (23.8%). In this patient population, no perineural hematoma was recorded. Our data provide evidence that continuous/single peripheral nerve blocks can be safely performed before thromboprophylaxis initiation, and perineural catheters can be safely removed while the patient is receiving thromboprophylaxis and/or aspirin.

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Year:  2008        PMID： 18358371     DOI： 10.1016/j.arth.2007.05.045

Source DB:  PubMed          Journal:  J Arthroplasty        ISSN： 0883-5403            Impact factor:   4.757


  9 in total

Review 1.  Perioperative outcomes and type of anesthesia in hip surgical patients: An evidence based review.

Authors:  Mathias Opperer; Thomas Danninger; Ottokar Stundner; Stavros G Memtsoudis
Journal:  World J Orthop       Date:  2014-07-18

Review 2.  Risk of bleeding associated with interventional musculoskeletal radiology procedures. A comprehensive review of the literature.

Authors:  Gregory B Foremny; Juan Pretell-Mazzini; Jean Jose; Ty K Subhawong
Journal:  Skeletal Radiol       Date:  2014-11-30       Impact factor: 2.199

3.  Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions.

Authors:  Thrivikrama Padur Tantry; Dinesh Kadam; Pramal Shetty; Sanath Bhandary
Journal:  Indian J Anaesth       Date:  2010-05

4.  The psoas compartment block for hip surgery: the past, present, and future.

Authors:  M A de Leeuw; W W A Zuurmond; R S G M Perez
Journal:  Anesthesiol Res Pract       Date:  2011-05-22

5.  Successful Ultrasound-Guided Femoral Nerve Blockade and Catheterization in a Patient with Von Willebrand Disease.

Authors:  Youmna E DiStefano; Michael D Lazar
Journal:  Case Rep Anesthesiol       Date:  2015-05-31

6.  Combination Therapy with Continuous Three-in-One Femoral Nerve Block and Periarticular Multimodal Drug Infiltration after Total Hip Arthroplasty.

Authors:  Tomonori Tetsunaga; Tomoko Tetsunaga; Kazuo Fujiwara; Hirosuke Endo; Toshifumi Ozaki
Journal:  Pain Res Manag       Date:  2016-12-14       Impact factor: 3.037

7.  Comparison of Continuous Femoral Nerve Block with and Without Combined Sciatic Nerve Block after Total Hip Arthroplasty: A Prospective Randomized Study.

Authors:  Shoji Nishio; Shigeo Fukunishi; Tomokazu Fukui; Yuki Fujihara; Shohei Okahisa; Yu Takeda; Shinichi Yoshiya
Journal:  Orthop Rev (Pavia)       Date:  2017-06-23

8.  Comparison of Continuous Epidural Analgesia, Patient-Controlled Analgesia with Morphine, and Continuous Three-in-One Femoral Nerve Block on Postoperative Outcomes after Total Hip Arthroplasty.

Authors:  Tomonori Tetsunaga; Toru Sato; Naofumi Shiota; Tomoko Tetsunaga; Masahiro Yoshida; Yoshiki Okazaki; Kazuki Yamada
Journal:  Clin Orthop Surg       Date:  2015-05-18

9.  Femoral nerve block-sciatic nerve block vs. femoral nerve block-local infiltration analgesia for total knee arthroplasty: a randomized controlled trial.

Authors:  Mari Nagafuchi; Tomoyuki Sato; Takahiro Sakuma; Akemi Uematsu; Hiromasa Hayashi; Hidenori Tanikawa; Kazunari Okuma; Akira Hashiuchi; Junya Oshida; Hiroshi Morisaki
Journal:  BMC Anesthesiol       Date:  2015-12-15       Impact factor: 2.217
  9 in total

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