Efficacy of Epidural Analgesia versus Ultrasound guided Femoral Nerve Block in Postoperative Pain Relief in case of Total Knee Surgery.

Abstract

Surgeries of the knee are associated with moderate to severe postoperative pain. Uncontrolled postoperative pain has an adverse sequel of delayed resumption of normal pulmonary function, restriction of mobility, nausea and vomiting, increase in the systemic vascular resistance, cardiac work, and myocardial oxygen consumption. So these procedures are better to be done under regional anesthetic techniques which reduce neuroendocrinal stress responses, central sensitization of the nervous system and muscle spasms which occur in response to painful stimuli.