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

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. Group F (n=18) received general anesthesia after a 3-in-1...

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Bibliographic Details
Published in:Aǧrı 2009-04, Vol.21 (2), p.69
Main Authors: Inan, Nurten, Akin Takmaz, Suna, Iltar, Serkan, Yazici, Işin, Başar, Hülya
Format: Article
Language:Turkish
Subjects:
Analgesia, Patient-Controlled
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
Analgesics, Opioid - therapeutic use
Anesthesia, General
Arthroplasty, Replacement, Hip
Female
Femoral Nerve - drug effects
Humans
Infusions, Intravenous
Male
Middle Aged
Nerve Block
Pain Measurement
Pain, Postoperative - drug therapy
Patient Satisfaction
Tramadol - administration & dosage
Tramadol - adverse effects
Tramadol - therapeutic use
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Summary: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. 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. Total tramadol consumption was lower in Group FD (377.7+/-137.4) than in Group F (593.9+/-132.3) (p
ISSN:1300-0012