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[The effects of two different multimodal analgesic regimens in total hip replacement surgery].
Agri. 2009 Apr; 21(2):69-74.AGRI

Abstract

OBJECTIVES

This study evaluated the effectiveness of two different multimodal analgesia protocols in terms of postoperative pain relief, tramadol consumption during patient-controlled analgesia (PCA) and side effects after total hip replacement surgery.

METHODS

Group F (n=18) received general anesthesia after a 3-in-1 femoral nerve block (FNB) was applied using 40 ml of bupivacaine 0.25%. Group FD (n=18) received general anesthesia after the same block and dexketoprofen p.o. was given. All patients received intravenous tramadol at the end of surgery via a PCA device. Group FD was given dexketoprofen 75 mg/day for 48 hours postoperatively. Pain scores were evaluated at 0, 1/2, 1, 4, 8, 12, 24 and 48h at rest and on movement of the hip. Side effects and global satisfaction scores in both groups were also evaluated in this setting.

RESULTS

Total tramadol consumption was lower in Group FD (377.7+/-137.4) than in Group F (593.9+/-132.3) (p<0.05). Visual analogue scale (VAS) scores were </=3 in all follow-up periods in both groups. While in Group FD, 6 patients had nausea, 3 vomiting and 1 sedation, in Group F, 5 patients had nausea, 3 vomiting and 2 sedation. Patient global satisfaction scores in Group F were very good in 14 patients and good in 4 patients, and in Group FD were very good in 13 patients and good in 5 patients.

CONCLUSION

Both analgesia protocols were effective in pain relief in total hip replacement patients, with similar side effects. The effect of additional dexketoprofen was to reduce postoperative tramadol consumption.

Authors+Show Affiliations

2nd Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey. nurteninan@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

tur

PubMed ID

19562535

Citation

Inan, Nurten, et al. "[The Effects of Two Different Multimodal Analgesic Regimens in Total Hip Replacement Surgery]." Agri : Agri (Algoloji) Dernegi'nin Yayin Organidir = the Journal of the Turkish Society of Algology, vol. 21, no. 2, 2009, pp. 69-74.
Inan N, Akin Takmaz S, Iltar S, et al. [The effects of two different multimodal analgesic regimens in total hip replacement surgery]. Agri. 2009;21(2):69-74.
Inan, N., Akin Takmaz, S., Iltar, S., Yazici, I., & Başar, H. (2009). [The effects of two different multimodal analgesic regimens in total hip replacement surgery]. Agri : Agri (Algoloji) Dernegi'nin Yayin Organidir = the Journal of the Turkish Society of Algology, 21(2), 69-74.
Inan N, et al. [The Effects of Two Different Multimodal Analgesic Regimens in Total Hip Replacement Surgery]. Agri. 2009;21(2):69-74. PubMed PMID: 19562535.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The effects of two different multimodal analgesic regimens in total hip replacement surgery]. AU - Inan,Nurten, AU - Akin Takmaz,Suna, AU - Iltar,Serkan, AU - Yazici,Işin, AU - Başar,Hülya, PY - 2009/6/30/entrez PY - 2009/6/30/pubmed PY - 2009/9/26/medline SP - 69 EP - 74 JF - Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology JO - Agri VL - 21 IS - 2 N2 - OBJECTIVES: This study evaluated the effectiveness of two different multimodal analgesia protocols in terms of postoperative pain relief, tramadol consumption during patient-controlled analgesia (PCA) and side effects after total hip replacement surgery. METHODS: Group F (n=18) received general anesthesia after a 3-in-1 femoral nerve block (FNB) was applied using 40 ml of bupivacaine 0.25%. Group FD (n=18) received general anesthesia after the same block and dexketoprofen p.o. was given. All patients received intravenous tramadol at the end of surgery via a PCA device. Group FD was given dexketoprofen 75 mg/day for 48 hours postoperatively. Pain scores were evaluated at 0, 1/2, 1, 4, 8, 12, 24 and 48h at rest and on movement of the hip. Side effects and global satisfaction scores in both groups were also evaluated in this setting. RESULTS: Total tramadol consumption was lower in Group FD (377.7+/-137.4) than in Group F (593.9+/-132.3) (p<0.05). Visual analogue scale (VAS) scores were </=3 in all follow-up periods in both groups. While in Group FD, 6 patients had nausea, 3 vomiting and 1 sedation, in Group F, 5 patients had nausea, 3 vomiting and 2 sedation. Patient global satisfaction scores in Group F were very good in 14 patients and good in 4 patients, and in Group FD were very good in 13 patients and good in 5 patients. CONCLUSION: Both analgesia protocols were effective in pain relief in total hip replacement patients, with similar side effects. The effect of additional dexketoprofen was to reduce postoperative tramadol consumption. SN - 1300-0012 UR - https://www.unboundmedicine.com/medline/citation/19562535/[The_effects_of_two_different_multimodal_analgesic_regimens_in_total_hip_replacement_surgery]_ L2 - http://www.journalagent.com/pubmed/linkout.asp?ISSN=1300-0012&amp;PMID=19562535 DB - PRIME DP - Unbound Medicine ER -