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The efficacy of high volume of local infiltration analgesia for postoperative pain relief after total hip arthroplasty under general anaesthesia - A randomised controlled trial

Titman, Saskia; Hommel, Ami LU ; Dobrydnjov, Igor and Johansson, Anders LU (2017) In International Journal of Orthopaedic and Trauma Nursing p.1-6
Abstract

Background and aim: Research regarding patients undergoing total hip arthroplasty (THA) has shown no significant difference in postoperative pain with or without the use of local infiltration analgesia (LIA). The aim was to evaluate whether intra-operative LIA with Ropivacaine in patients undergoing THA under general anaesthesia reduces postoperative pain. Method: A randomised, placebo-controlled trial. Forty patients undergoing elective primary THA under general anaesthesia were allocated to an intervention group (RG) who received 150 ml of LIA or a placebo group (CG) who received 150 ml of saline solution. Results: There were no differences in demographic data or duration of anesthesia. The total mean dose of morphine given was 16 ±... (More)

Background and aim: Research regarding patients undergoing total hip arthroplasty (THA) has shown no significant difference in postoperative pain with or without the use of local infiltration analgesia (LIA). The aim was to evaluate whether intra-operative LIA with Ropivacaine in patients undergoing THA under general anaesthesia reduces postoperative pain. Method: A randomised, placebo-controlled trial. Forty patients undergoing elective primary THA under general anaesthesia were allocated to an intervention group (RG) who received 150 ml of LIA or a placebo group (CG) who received 150 ml of saline solution. Results: There were no differences in demographic data or duration of anesthesia. The total mean dose of morphine given was 16 ± 12 mg (RG) and 13 ± 9 mg (CG) (p = 0.238). Pain scores (Numeric rating scale, NRS) on arrival at the PACU (time 0) were Md 1 in the RG groupvs Md 5 in the CG group (p = 0.026). During the first 2 h the Md NRS values in the RG group were ≤3 whereas the Md values in the CG were ≥3. No significant differences in NRS were found at 1-6 h after arrival at the PACU. Conclusion: Our study suggests that there is a positive effect of LIA on pain scores within the first hour postoperatively in patients undergoing elective primary THA under general anaesthesia.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Anaesthesia, LIA, Nursing, Total hip arthroplasty
in
International Journal of Orthopaedic and Trauma Nursing
pages
1 - 6
publisher
Elsevier
external identifiers
  • scopus:85033591730
ISSN
1878-1241
DOI
10.1016/j.ijotn.2017.10.003
language
English
LU publication?
no
id
2eb7976e-2e6d-4e7f-9665-6c9e62d3472a
date added to LUP
2017-12-27 13:51:15
date last changed
2018-01-07 12:29:44
@article{2eb7976e-2e6d-4e7f-9665-6c9e62d3472a,
  abstract     = {<p>Background and aim: Research regarding patients undergoing total hip arthroplasty (THA) has shown no significant difference in postoperative pain with or without the use of local infiltration analgesia (LIA). The aim was to evaluate whether intra-operative LIA with Ropivacaine in patients undergoing THA under general anaesthesia reduces postoperative pain. Method: A randomised, placebo-controlled trial. Forty patients undergoing elective primary THA under general anaesthesia were allocated to an intervention group (RG) who received 150 ml of LIA or a placebo group (CG) who received 150 ml of saline solution. Results: There were no differences in demographic data or duration of anesthesia. The total mean dose of morphine given was 16 ± 12 mg (RG) and 13 ± 9 mg (CG) (p = 0.238). Pain scores (Numeric rating scale, NRS) on arrival at the PACU (time 0) were Md 1 in the RG groupvs Md 5 in the CG group (p = 0.026). During the first 2 h the Md NRS values in the RG group were ≤3 whereas the Md values in the CG were ≥3. No significant differences in NRS were found at 1-6 h after arrival at the PACU. Conclusion: Our study suggests that there is a positive effect of LIA on pain scores within the first hour postoperatively in patients undergoing elective primary THA under general anaesthesia.</p>},
  author       = {Titman, Saskia and Hommel, Ami and Dobrydnjov, Igor and Johansson, Anders},
  issn         = {1878-1241},
  keyword      = {Anaesthesia,LIA,Nursing,Total hip arthroplasty},
  language     = {eng},
  month        = {10},
  pages        = {1--6},
  publisher    = {Elsevier},
  series       = {International Journal of Orthopaedic and Trauma Nursing},
  title        = {The efficacy of high volume of local infiltration analgesia for postoperative pain relief after total hip arthroplasty under general anaesthesia - A randomised controlled trial},
  url          = {http://dx.doi.org/10.1016/j.ijotn.2017.10.003},
  year         = {2017},
}