Preemptive analgesia in hip arthroscopy: intra-articular bupivacaine does not improve pain control after preoperative peri-acetabular blockade
| Autor: | Zachary T Sharfman, Amir Shlaifer, Gilad Eizenberg, Hal David Martin, Eyal Amar, Efi Kazum, Evgeny Reider, Ehud Rath |
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| Rok vydání: | 2020 |
| Předmět: |
Arthroplasty
Replacement Hip Postoperative pain Peri Analgesic Injections Intra-Articular Cohort Studies Arthroscopy 03 medical and health sciences 0302 clinical medicine Intra articular Pain control medicine Humans Orthopedics and Sports Medicine Anesthetics Local Pain Measurement Bupivacaine Pain Postoperative 030222 orthopedics business.industry 030229 sport sciences Blockade Anesthesia Surgery Hip arthroscopy Analgesia business medicine.drug |
| Zdroj: | HIP International. 32:265-270 |
| ISSN: | 1724-6067 1120-7000 |
| Popis: | Introduction: Literature addressing postoperative pain management after hip arthroscopy is relatively scarce. This study aimed to assess if there was added analgesic benefit associated with postoperative intra-articular bupivacaine blockade for patients who received preoperative peri-acetabular blockade for hip arthroscopy procedures. Methods: 52 patients were included in this comparative cohort study. Group 1 consisted of 20 patients who received preoperative peri-acetabular blockade and postoperative intra-articular blockade. The control group (Group 2), consisted of 32 patients who received only preoperative peri-acetabular blockade. Postoperative pain was recorded via visual analogue scale (VAS) pain scores, analgesic consumption, and pain diaries for 2 weeks postoperatively. Results: Postoperative VAS pain scores were significantly lower in the experimental group at the 30-minute recovery room assessment (VAS scores Group 1: 1.1; Group 2: 3.00, p = 0.034). Other than the 30-minute recovery room assessment, VAS pain scores, narcotic medication consumption, and non-narcotic analgesic consumption did not differ between the 2 groups at any time point in the study period. Conclusions: This study did not demonstrate significant clinical benefit for patients who receive postoperative intra-articular blockade in addition to preoperative peri-acetabular blockade with bupivacaine 0.5%. We recommend the use of preoperative peri-acetabular bupivacaine blockade without intra-articular blockade postoperatively for pain control in the setting of hip arthroscopy surgery. |
| Databáze: | OpenAIRE |
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