A prospective evaluation of 2 different pain management protocols for total hip arthroplasty
| Autor: | Tim van de Leur, William J. Hozack, Lauren K. Kahl, Camilo Restrepo, James J. Purtill, Zachary D. Post |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Narcotics medicine.medical_specialty Narcotic medicine.medical_treatment Arthroplasty Replacement Hip Pregabalin Patient satisfaction Surveys and Questionnaires Medicine Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Adverse effect gamma-Aminobutyric Acid Acetaminophen Aged Aged 80 and over Dextropropoxyphene Pain Postoperative Sulfonamides business.industry Analgesics Non-Narcotic Middle Aged Arthroplasty Fentanyl Treatment Outcome Opioid Celecoxib Patient Satisfaction Anesthesia Physical therapy Pyrazoles Female Hip Prosthesis business Oxycodone medicine.drug |
| Zdroj: | The Journal of arthroplasty. 25(3) |
| ISSN: | 1532-8406 |
| Popis: | Pain management after total hip arthroplasty has improved dramatically in the past decade. However, most protocols use opioid medications for pain control. In the current study, 100 patients were prospectively selected to receive a traditional narcotic-based patient-controlled analgesia protocol or a nonnarcotic oral protocol for pain management after primary total hip arthroplasty. Therapy programs were similar for both groups. Postoperatively, patients were followed daily for opioid use, medication adverse effects, pain control, and overall satisfaction. The nonnarcotic oral group showed lower mean pain scores during the first 24 hours after surgery. The satisfaction rate was high in both groups. Both protocols provided adequate pain control after total hip arthroplasty; the nonnarcotic pain management protocol resulted in significantly decreased opioid consumption and fewer adverse effects. |
| Databáze: | OpenAIRE |
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