[The effects of two different multimodal analgesic regimens in total hip replacement surgery].

Autor:	Inan N; 2nd Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey. nurteninan@yahoo.com, Akin Takmaz S, Iltar S, Yazici I, Başar H
Jazyk:	turečtina
Zdroj:	Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology [Agri] 2009 Apr; Vol. 21 (2), pp. 69-74.
Abstrakt:	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 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.
Databáze:	MEDLINE
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