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REVIEW ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 4  |  Page : 148-151

Effectiveness of continuous adductor canal block versus continuous epidural analgesia in patients with total knee arthroplasty: A systematic review


Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University, Bali, Indonesia

Correspondence Address:
Dr. Christopher Ryalino
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University, Jl. PB Sudirman, Denpasar 80232, Bali
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/BJOA.BJOA_96_20

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Background: This systematic review aimed to summarize the evidence base on randomized controlled trials (RCTs) comparing the continuous adductor canal block (CACB) and continuous epidural analgesia (CEA) in total knee arthroplasty (TKA) surgery. Methods: We searched the Cochrane Library, PubMed, and EMBASE database from the beginning of 2016 until 2020 to find RCTs published in English language, which have investigated pain score, length of stay (LOS), ambulation distance, and total opioid consumption in TKA. Results: Three RCTs were included in the final analysis. All of them employed similar argument that CACB is better than CEA in pain score, but only two of three studies investigated the other parameters such as LOS, ambulation distance, and opioid consumption, with the result that CACB is better than CEA. Conclusion: It was found that CACB was better in pain control compared to CEA, but there are very few similar studies. Future research is required to establish the therapeutic efficiency of CACB than CEA in TKA surgery.


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