Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients
المؤلفون المشاركون
Overgaard, Søren
Bech, R. D.
Lauritsen, Jens
Ovesen, Ole
Emmeluth, Claus
Lindholm, Peter
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-13
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background and purpose.
Local infiltration analgesia (LIA) supports early mobilization after hip and knee arthroplasty.
Inspired by this, we studied the effectiveness of wound infiltration with the long acting local anesthetic ropivacaine in an effort to decrease the need for postoperative opioids after osteosynthesis of extracapsular hip fracture.
Methods.
Forty-nine patients undergoing osteosynthesis with a sliding hip screw were randomized into two groups in a double-blind study (ClinicalTrials.gov:NCT01119209).
The patients received intraoperative infiltration followed by 6 postoperative injections through a wound catheter in eight-hour intervals.
23 patients received ropivacaine and 26 received saline.
The intervention period was 2 days, and the observation period was 5 days.
In both groups, there were no restrictions on the total daily dose of opioids.
Pain was assessed at specific postoperative time points, and the daily opioid usage was registered.
Results.
Intraoperative infiltration with 200 mg ropivacaine and postoperative repeated infiltration with 100 mg ropivacaine did not result in statistically significant difference between the groups regarding postoperative opioid consumption or pain.
Interpretation.
Ropivacaine as single component in postoperative treatment of pain after hip fracture is not effective.
In our setup, wound infiltration with ropivacaine is not statistically significantly better than placebo.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bech, R. D.& Ovesen, Ole& Lauritsen, Jens& Emmeluth, Claus& Lindholm, Peter& Overgaard, Søren. 2018. Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Pain Research and Management،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1212592
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bech, R. D.…[et al.]. Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Pain Research and Management No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1212592
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bech, R. D.& Ovesen, Ole& Lauritsen, Jens& Emmeluth, Claus& Lindholm, Peter& Overgaard, Søren. Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Pain Research and Management. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1212592
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1212592
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر