دورية أكاديمية
LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY.
| العنوان: | LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY. |
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| المؤلفون: | Sadigursky D; Clínica Ortopédica e Traumatológica (COT), Salvador, BA, Brasil., Simões DP; Clínica Ortopédica e Traumatológica (COT), Salvador, BA, Brasil., de Albuquerque RA; Clínica Ortopédica e Traumatológica (COT), Salvador, BA, Brasil., Silva MZ; Faculdade de Ciências e Tecnologia (FTC), Salvador, BA, Brasil., Fernandes RJC; Clínica Ortopédica e Traumatológica (COT), Salvador, BA, Brasil., Colavolpe PO; Clínica Ortopédica e Traumatológica (COT), Salvador, BA, Brasil. |
| المصدر: | Acta ortopedica brasileira [Acta Ortop Bras] 2017 Mar-Apr; Vol. 25 (2), pp. 81-84. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Atha Comunicação e Editora Country of Publication: Brazil NLM ID: 9804509 Publication Model: Print Cited Medium: Print ISSN: 1413-7852 (Print) Linking ISSN: 14137852 NLM ISO Abbreviation: Acta Ortop Bras Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Sao Paulo : Atha Comunicação e Editora Original Publication: Sao Paulo : Redprint Editora |
| مستخلص: | Objective: To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. Methods: To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. One group received the local periarticular infiltration protocol containing 0.5% bupivacaine (400mg/20ml), 1/1000 epinephrine (0.3ml), triamcinolone hexacetonide (20mg/1ml), clonidine (150mcg/1ml) and 20 ml of saline (0.9% SS) and, the other group underwent conventional intravenous analgesia. The results were compared and the variables analyzed were age, sex, BMI, comorbidities, postoperative complications, pain, functional capacity, range of motion, transfusion and rescue opioids for analgesia. Results: The mean age of the patients was 68 years and most were female and presented involvement of the left knee. Postoperatively, patients who had received periarticular infiltration showed improvement of pain as well as functional capacity. Conclusion: The analysis of data obtained demonstrated that the periarticular infiltration of analgesic agents is significantly effective for pain control and functional recovery. Level of Evidence II, Prospective Comparative Study. Competing Interests: All the authors declare that there is no potential conflict of interest referring to this article. |
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| فهرسة مساهمة: | Keywords: Analgesia; Arthroplasty; Knee; Seepage Local Abstract: [Publisher, Portuguese] Avaliar a realização da infiltração de solução de agentes analgésicos periarticulares no intraoperatório da artroplastia total do joelho (ATJ), no que tange aos seus benefícios, redução da dor, consumo de opioides, melhora do arco de movimento e deambulação precoce. [Publisher, Portuguese] Para avaliar os benefícios da infiltração de agentes periarticulares, foram analisados pacientes submetidos à ATJ, sendo separados em dois grupos. Um grupo recebeu o protocolo de infiltração periarticular local, contendo solução de bupivacaína a 0,5% (400 mg /20 ml), epinefrina 1/1000 (0,3 ml), hexacetonido de triancinolona (20 mg/1 ml), clonidina (150 mcg/1 ml) e 20 ml de solução salina (SF a 0,9%) e outro grupo recebeu analgesia endovenosa convencional. Os resultados foram comparados e as variáveis analisadas foram idade, sexo, IMC, comorbidades, complicações pós-cirúrgicas, dor, capacidade funcional, amplitude de movimento, transfusão e resgate de opioides para analgesia. [Publisher, Portuguese] Dos pacientes analisados a média de idade foi de 68 anos e a maioria era do sexo feminino e com acometimento do joelho esquerdo. No pós-operatório os pacientes que haviam recebido infiltração periarticular apresentaram melhora da dor, bem como da capacidade funcional. [Publisher, Portuguese] A análise dos dados obtidos demonstrou que a infiltração periarticular de agentes analgésicos é significativamente eficaz para o controle da dor e recuperação funcional. Nível de Evidência II, Estudo Prospectivo Comparativo. |
| تواريخ الأحداث: | Date Created: 20170624 Latest Revision: 20220310 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC5474418 |
| DOI: | 10.1590/1413-785220172502151116 |
| PMID: | 28642656 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1413-7852 |
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| DOI: | 10.1590/1413-785220172502151116 |