Peri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative day

Vista sencilla de ítem
dc.contributor.authorBautista, Maria P.
dc.contributor.authorMuskus, Meilyn A.
dc.contributor.authorLlinas, Adolfo
dc.contributor.authorBonilla León, Guillermo Alfonso
dc.contributor.authorGuerrero, Carlos E.
dc.contributor.authorMoyano Acevedo, Jairo Ricardo
dc.date.accessioned2020-05-12T16:37:54Z
dc.date.available2020-05-12T16:37:54Z
dc.date.issued2018
dc.description.abstractenglishBackground Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. Materials and methods This cohort study compared 129 patients that received peri-articular soft tissue injection with 20 ml of 0.25% bupivacaine and 2 ml of ketorolac (30 mg/1 ml) in 28 ml of saline solution, with 71 patients who did not received injections. Pain intensity in the Verbal Analog Scale (VAS), opioid titration, and consumption (mg morphine equivalents) in the post-anaesthetic care unit (PACU) and during the first post-operative day were assessed for both groups. All patients received the same analgesia protocol. Results Median VAS score in the PACU was 4 (IQR 2–7) in the injection group and 7 (IQR 4–8) in the non-injection group (p = 0.001). Median opioid titration was 0 mg for the injection group and 2.6 mg for the non-injection group (p = 0.011). In the first post-operative day, the difference in VAS scores between groups was statistically significant (p = 0.009), but there was no difference in opioid consumption. Conclusion Soft tissue injection with local anesthetics and non-steroidal anti-inflammatory drugs allows adequate pain control in the immediate post-operative period and reduces the requirement for opioid consumption. We recommend the implementation of this safe and effective strategy in post-operative pain management after primary hip arthroplasty.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s00264-018-3788-z
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn03141-2695
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2619
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalInternational orthopaedicsspa
dc.relation.ispartofseriesInternational orthopaedics, 03141-2695, Vol. 42, Nro. 8, 2018, p. 1803-1810spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs00264-018-3788-z
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2018
dc.rights.localAcceso cerradospa
dc.subject.decsManejo del dolorspa
dc.subject.decsAnestesiaspa
dc.subject.decsArtroplastia de reemplazo de caderaspa
dc.subject.keywordsHip arthroplastyspa
dc.subject.keywordsHip replacementspa
dc.subject.keywordsPost-operativespa
dc.titlePeri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative dayspa
dc.title.translatedPeri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative dayspa
dc.typearticlespa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
María Bautista ,Meilyn Muskus ,Adolfo Llinás ,Guillermo Bonilla ,Carlos Guerrero yJairo Moyano _2018.pdf
Tamaño:
743.11 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos