دورية أكاديمية
An Innovative Pain Control Method Using Peripheral Nerve Block and Patient-Controlled Analgesia With Ketorolac After Bone Surgery in the Ankle Area: A Prospective Study.
| العنوان: | An Innovative Pain Control Method Using Peripheral Nerve Block and Patient-Controlled Analgesia With Ketorolac After Bone Surgery in the Ankle Area: A Prospective Study. |
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| المؤلفون: | Lee JK; Fellow, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea., Kang C; Associate Professor, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea. Electronic address: faschan@daum.net., Hwang DS; Professor, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea., Lee GS; Associate Professor, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea., Hwang JM; Associate Professor, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea., Park EJ; Associate Professor, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea., Ga IH; Resident, Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea. |
| المصدر: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2020 Jul - Aug; Vol. 59 (4), pp. 698-703. Date of Electronic Publication: 2020 Feb 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9308427 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-2224 (Electronic) Linking ISSN: 10672516 NLM ISO Abbreviation: J Foot Ankle Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Philadelphia : W.B. Saunders Original Publication: Baltimore, MD : Williams & Wilkins, c1993- |
| مواضيع طبية MeSH: | Analgesia, Patient-Controlled* , Ketorolac*, Analgesics, Opioid ; Ankle ; Humans ; Pain, Postoperative/drug therapy ; Pain, Postoperative/prevention & control ; Peripheral Nerves ; Prospective Studies |
| مستخلص: | Although postoperative pain is inevitable after bone surgery, there is no general consensus regarding its ideal management. We hypothesized that the combination of ultrasound-guided peripheral nerve block (PNB) and patient-controlled analgesia (PCA) with ketorolac would be useful for pain control and reducing opioid usage. This prospective study aimed to evaluate the effectiveness of this method. This study included 95 patients aged >18 years who underwent bone surgery in the ankle area from June to December 2018. All operations were performed under anesthetic PNB, and additional PNB was given for pain control ∼11 hours after preoperative PNB. An additional PCA with ketorolac, started before rebound pain was experienced, was used for pain control in group A (49 patients) but not group B (46 patients). We used intramuscular injection with pethidine or ketorolac as rescue analgesics if pain persisted. A visual analogue scale (VAS) for pain was used to quantify pain at 6, 12, 18, 24, 36, 48, and 72 hours postoperatively. Patient satisfaction was assessed, along with side effects in both groups. VAS pain scores differed significantly between the groups at 24 hours after the operation (p = .013). All patients in group A were satisfied with the pain control method; however, 5 patients in group B were dissatisfied (p = .001), 3 owing to severe postoperative pain and 2 owing to postoperative nausea and vomiting. An average of 0.75 and 11.40 mg pethidine per patient was used in groups A and B, respectively, for 3 days. We concluded that the combined use of ultrasound-guided PNB and PCA with ketorolac can be an effective postoperative method of pain control that can reduce opioid usage. (Copyright © 2019 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: NSAIDs; multimodal analgesia; opioid crisis; postoperative analgesia; postoperative nausea and vomiting; ultrasound-guided nerve block |
| المشرفين على المادة: | 0 (Analgesics, Opioid) YZI5105V0L (Ketorolac) |
| تواريخ الأحداث: | Date Created: 20200215 Date Completed: 20210624 Latest Revision: 20210624 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1053/j.jfas.2019.12.001 |
| PMID: | 32057624 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1542-2224 |
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| DOI: | 10.1053/j.jfas.2019.12.001 |