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CORRESPONDENCE |
Perioperative analgesia for knee arthroplasty
E-mail: joerg.kuehne@ntlworld.com
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EditorI welcome the study by Davies and colleagues1 comparing epidural infusion with combined single shot femoral and sciatic nerve block for perioperative analgesia after knee arthroplasty. The use of nerve blocks for this procedure is well established in other countries but appears to be used infrequently in the UK. The findings may not come as a surprise to the enthusiast and many of the results in this paper have been demonstrated before.
The Authors suggest the use of a continuous sciatic nerve block, in addition to a continuous femoral block, to improve the quality of analgesia instead of the single shot technique used in this study. Using continuous femoral nerve block, in my experience the addition of a single shot sciatic block with bupivacaine 0.25%, 20 ml is
Barnstaple, UK
E-mail: hgargi@aol.com
Oxford, UK
E-mail: anthony.davies@phnt.swest.nhs.uk
Plymouth, UK