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

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dc.creatorBautista M.spa
dc.creatorMuskus M.spa
dc.creatorLlinás A.spa
dc.creatorBonilla G.spa
dc.creatorGuerrero C.spa
dc.creatorMoyano J.spa
dc.date.accessioned2020-05-25T23:55:40Z
dc.date.available2020-05-25T23:55:40Z
dc.date.created2018spa
dc.description.abstractBackground: 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. Level of evidence: Level II, cohort study. © 2018, SICOT aisbl.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s00264-018-3788-z
dc.identifier.issn14325195
dc.identifier.issn03412695
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22166
dc.language.isoengspa
dc.publisherSpringer Verlagspa
dc.relation.citationEndPage1810
dc.relation.citationIssueNo. 8
dc.relation.citationStartPage1803
dc.relation.citationTitleInternational Orthopaedics
dc.relation.citationVolumeVol. 42
dc.relation.ispartofInternational Orthopaedics, ISSN:14325195, 03412695, Vol.42, No.8 (2018); pp. 1803-1810spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85041903807&doi=10.1007%2fs00264-018-3788-z&partnerID=40&md5=38174d9a6ee4eb2c8eb903dd87aca794spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAnalgesic agentspa
dc.subject.keywordintra-articulareng
dc.subject.keywordhipeng
dc.subject.keywordHydromorphonespa
dc.subject.keywordKetaminespa
dc.subject.keywordKetorolacspa
dc.subject.keywordMorphinespa
dc.subject.keywordOpiate derivativespa
dc.subject.keywordOxycodonespa
dc.subject.keywordParacetamolspa
dc.subject.keywordSodium chloridespa
dc.subject.keywordTranexamic acidspa
dc.subject.keywordBupivacainespa
dc.subject.keywordKetorolacspa
dc.subject.keywordLocal anesthetic agentspa
dc.subject.keywordNarcotic analgesic agentspa
dc.subject.keywordNonsteroid antiinflammatory agentspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAnalgesiaspa
dc.subject.keywordArticlespa
dc.subject.keywordClinical assessmentspa
dc.subject.keywordClinical effectivenessspa
dc.subject.keywordClinical protocolspa
dc.subject.keywordCohort analysisspa
dc.subject.keywordControlled studyspa
dc.subject.keywordDrug dose titrationspa
dc.subject.keywordDrug mixturespa
dc.subject.keywordFemalespa
dc.subject.keywordHip arthroplastyspa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordPain assessmentspa
dc.subject.keywordPain intensityspa
dc.subject.keywordPeriarticular drug administrationspa
dc.subject.keywordPostoperative painspa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordPriority journalspa
dc.subject.keywordRating scalespa
dc.subject.keywordSoft tissue drug administrationspa
dc.subject.keywordUnspecified side effectspa
dc.subject.keywordVerbal analog scalespa
dc.subject.keywordVisual analog scalespa
dc.subject.keywordAnalgesiaspa
dc.subject.keywordCombination drug therapyspa
dc.subject.keywordDrug effectspa
dc.subject.keywordHip replacementspa
dc.subject.keywordIntraarticular drug administrationspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPain measurementspa
dc.subject.keywordPostoperative painspa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordProceduresspa
dc.subject.keywordRegisterspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordVery elderlyspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAged, 80 and overspa
dc.subject.keywordAnalgesicseng
dc.subject.keywordAnestheticseng
dc.subject.keywordAnti-inflammatory agentseng
dc.subject.keywordArthroplastyeng
dc.subject.keywordBupivacainespa
dc.subject.keywordCohort studiesspa
dc.subject.keywordDrug therapyeng
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordInjectionseng
dc.subject.keywordKetorolacspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPain managementspa
dc.subject.keywordPain measurementspa
dc.subject.keywordPaineng
dc.subject.keywordPostoperative periodspa
dc.subject.keywordRegistriesspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordHip arthroplastyspa
dc.subject.keywordHip replacementspa
dc.subject.keywordLocal anaesthesiaspa
dc.subject.keywordPainspa
dc.subject.keywordPain managementspa
dc.subject.keywordPost-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.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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