Reduce the background infusion by 0.10.5 mL/h in PCIA group and 0.5-2 mL/h in CFNB group, with an intravenous injection of 0.4-0.8 mg naloxone.
Reduce the background infusion by 0.1-0.5 mL/h in PCIA group and 0.5-2 mL/h in CFNB group, with an intravenous injection of 0.4-0.8 mg naloxone; extract the catheters of PCIA and CFNB pump if necessary, with mask ventilation with 3-10 L/min, mechanical ventilation with endotracheal intubation if necessary, and cardiopulmonary resuscitation if necessary.
Catheter Loss of CFNB. Extract the catheter and switch to PCIA.
Three/four grade is an indication of motor block and it is advised to switch from CFNB to PCIA.
The remaining 280 participants were included and randomized into a CFNB group in which continuous femoral nerve block was administered (N = 140) and a PCIA group in which intravenous patient controlled analgesia was used (N = 140); 13 participants in the CFNB group and 17 in the PCIA group were excluded from the PPS analysis for short-term outcome because of personal reasons or rescue protocol violation.
This patient underwent a left TKA and received a CFNB with Ropivacaine.
Discussion: For this patient, the pain ratings decreased after the catheter for the CFNB was taken out.
Unfortunately, post-operative pain often persists after 24-48 hours, so a continuous femoral nerve block (CFNB) was introduced.
The TKA procedure, with continuous femoral nerve block anesthesia (CFNB), began with an ultrasound-guided catheter with continuous infusion of 25 ml of 0.25% Ropivacaine for the CFNB.
Use of a knee immobilizer post surgery decreases the risk of falls in patients who have received a CFNB with a TKA.
At September 30, 2013, CFNB
had a total net worth of USD 182.7m, and a total risk-based capital ratio of 32.9%.
At September 30, 2012, CFNB
had a total net worth of USD198.8m, of which USD194.2m represented retained earnings, and a total risk-based capital ratio of 41%.