Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector3620610.17816/RA36206ArticlesСтатьиResearch ArticleComparing epidural analgesia with continuous femoral block using method of parallel patientcontrolled analgesia after total knee arthroplastyСравнение эпидурального обезболивания и блокады бедренного нерва методом параллельной контролируемой пациентом анальгезии после протезирования коленного суставаVoloshinA. GВолошинА. ГKiryushinD. NКирюшинД. НMukutsaI. GМукуцаИ. ГSerebryakovA. BСеребряковА. БSBEI “Sechenov First Moscow State Medical University”, 119991, MoscowГБОУ ВПО «Первый МГМУ им И.М. Сеченова» МЗ РФ, 119991, МоскваFSBI “Center of Therapy and rehabilitation”, 125367, MoscowФГБУ «Лечебно-реабилитационный центр» МЗ РФ, 125367, Москва1503201481VOL 8, NO1 (2014)ТОМ 8, №1 (2014)212521072020Copyright ©; 2014, Eco-VectorCopyright ©; 2014, ООО "Эко-Вектор"2014Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/36206

Does continuous femoral block have any advantages over epidural analgesia using patient controlled analgesia (PCA)? This question is still opened. The authors conducted a randomized placebo-controlled trial in order to compare epidural analgesia and continuous femoral block using method of double parallel patient-controlled analgesia after total knee arthroplasty. The results demonstrated that the using of PCA does not increase the consumption of local anesthetic and the number of adverse effects in comparison with epidural analgesia.

В настоящее время остается открытым вопрос, имеет ли преимущества продленная блокада бедренного нерва перед эпидуральным обезболиванием при использовании метода контролируемой пациентом анальгезии (КПА). Авторами статьи было проведено рандомизированное плацебоконтролируемое исследование с целью сравнения эпидуральной анальгезии и продленной блокады бедренного нерва методом двойной параллельной контролируемой пациентом анальгезии после тотального эндопротезирования коленного сустава. Результаты показали, что применение КПА при блокаде бедренного нерва не увеличивает потребление местного анестетика и количество нежелательных явлений в сравнении с эпидуральной анальгезией

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