Academic Journal
Pain levels and patient comfort after lower limb arthroplasty comparing i.v. patient-controlled analgesia, continuous peripheral nerve block and neuraxial analgesia: a retrospective cohort analysis of clinical routine data
| Title: | Pain levels and patient comfort after lower limb arthroplasty comparing i.v. patient-controlled analgesia, continuous peripheral nerve block and neuraxial analgesia: a retrospective cohort analysis of clinical routine data |
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| Authors: | Alina Yurutkina, Sven Klaschik, Pascal Kowark, Annette Gass, Carolina Link, Thomas Martin Randau, Jorge Jiménez-Cruz, Mark Coburn, Tobias Hilbert |
| Source: | Journal of Orthopaedic Surgery and Research, Vol 17, Iss 1, Pp 1-10 (2022) |
| Publisher Information: | BMC, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Orthopedic surgery LCC:Diseases of the musculoskeletal system |
| Subject Terms: | Hip arthroplasty, Knee arthroplasty, Peripheral nerve block, Patient-controlled analgesia, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
| More Details: | Abstract Background Insufficient pain control after lower limb arthroplasty results in delayed recovery and increased risk for pain chronicization. The ideal kind of analgesia is still discussed controversially. We conducted a retrospective analysis of single-center routine data from a German university hospital, including patients receiving either total hip (THA) or knee arthroplasty (TKA). Methods All patients received general anesthesia. Patients undergoing THA received either continuous epidural ropivacaine infusion (0.133%, Epi) or patient-controlled analgesia (PCA) with the Wurzburg Pain Drip (tramadol, metamizole and droperidol, WPD) or with piritramide (Pir). After TKA, patients received either continuous femoral nerve block (ropivacaine 0.2%, PNB) or Pir. Results The analyzed cohort comprised 769 cases. Use of WPD after THA (n = 333) resulted in significantly reduced Numeric Rating Scale (NRS) values at rest, compared to Epi (n = 48) and Pir (n = 72) (.75 [IQR 1.14] vs. 1.17 [1.5], p = .02 vs. 1.47 [1.33], p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1749-799X |
| Relation: | https://doaj.org/toc/1749-799X |
| DOI: | 10.1186/s13018-022-03277-0 |
| Access URL: | https://doaj.org/article/e5bca14a673c4f269e6552b10bf0d47b |
| Accession Number: | edsdoj.5bca14a673c4f269e6552b10bf0d47b |
| Database: | Directory of Open Access Journals |
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| ISSN: | 1749799X |
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| DOI: | 10.1186/s13018-022-03277-0 |
| Published in: | Journal of Orthopaedic Surgery and Research |
| Language: | English |