Saraburi Hospital Medical Journal https://he01.tci-thaijo.org/index.php/SHMJ <p><strong>Saraburi Hospital Medical Journal (SHMJ)</strong></p> <p>ISSN 0125-6904 (Print) ISSN 2821-9260 (Online)</p> <p><strong>Publication frequency</strong> : 2 issues per year (January-June and July-December)</p> <p><strong>Aim and scope</strong> : The purpose of Saraburi Hospital Medical Journal (SHMJ) is to publish high quality researches about medicine and health care as well as multidisciplinary scientific topics. The target group of authors are doctors, medical teachers, medical students, nurse, health care supportors and other medical researchers inside and outside the institution.</p> en-US <p><em>Journal of TCI is licensed under a Creative Commons </em><a href="https://creativecommons.org/licenses/by-nc-nd/4.0/"><em>Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)</em></a><em> licence, unless otherwise stated. Please read our Policies page for more information.</em></p> doctorcenter@sbh.go.th (สมศิริ พันธุ์ศักดิ์ศิริ) doctorcenter@sbh.go.th (Somsiri Pansaksiri) Thu, 06 Feb 2025 11:54:24 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 Efficacy of Pain Management between General Anesthesia with Ultrasound-Guided Femoral Nerve Block versus Spinal Anesthesia in Patients Undergoing Total Knee Replacement Surgery at Saraburi Hospital https://he01.tci-thaijo.org/index.php/SHMJ/article/view/272788 <p><strong>Introduction:</strong> Total knee replacement surgery can be intensely painful. Effective pain management during and after surgery is crucial. A combined approach using general anesthesia with ultrasound-guided femoral nerve block has been proposed to provide effective pain relief and reduce postoperative pain levels efficiently.</p> <p><strong>Objectives: </strong>To compare the efficacy of pain management between general anesthesias combined with ultrasound-guided femoral nerve block and spinal anesthesia in patients undergoing total knee replacement surgery at Saraburi Hospital. This randomized controlled trial (RCT) spanned from September 2020 to September 2021 and involved 60 patients divided into two groups.</p> <p><strong>Methods: </strong>Group 1 received general anesthesia combined with ultrasound-guided femoral nerve block(n=30), while Group 2 received spinal anesthesia (n=30). Data collection included patient demographics, intra-operative complications, pain scores, additional analgesic use, postoperative adverse events and patient satisfaction with pain management.</p> <p><strong>Results: </strong>Initial pain scores in recovery rooms and pre-discharge were statistically similar between the two groups. Significantly more patients in Group 2 required additional postoperative analgesia compared to Group 1 (p=0.015). Hypotension was more prevalent in Group 2 than in Group 1 as a surgical complication. Both groups reported high satisfaction scores (5 points) for pain management services, with percentages of 93.33% and 83.33% respectively.</p> <p><strong>Conclusion:</strong> Combining general anesthesia with ultrasound-guided femoral nerve block effectively manages early postoperative pain in total knee replacement surgery comparable to spinal anesthesia. It also reduces the need for additional postoperative analgesia, contributing to high patient satisfaction levels with pain management services.</p> Tianwara Wachirapakorn Copyright (c) 2025 Tianwara Wachirapakorn https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/SHMJ/article/view/272788 Mon, 30 Dec 2024 00:00:00 +0700