Evaluation of analgesic regimens in total knee arthroplasty, retrospective study

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dc.authorid0000-0003-1996-7505en_US
dc.authorid0000-0002-7776-109Xen_US
dc.authorid0000-0002-4561-3332en_US
dc.contributor.authorTulgar, Serkan
dc.contributor.authorSelvi, Onur
dc.contributor.authorSenturk, Ozgur
dc.contributor.authorSerifsoy, Talat Ercan
dc.contributor.authorSanel, Selim
dc.contributor.authorMeydaneri, Sertac
dc.date.accessioned2024-07-12T21:52:35Z
dc.date.available2024-07-12T21:52:35Z
dc.date.issued2017en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractOBJECTIVE: Analgesic therapies have an immense role in early rehabilitation period after total knee arthroplasty (TKA) and multimodal approaches should be considered as the first choice of treatment. In this retrospective study, the aim was to evaluate the effectiveness of multimodal analgesic therapies for TKA, including femoral nerve block (FNB) and patient controlled analgesia (PCA). METHODS: The data of 79 patients who underwent TKA between January and December 2016 were retrospectively evaluated. In all, 63 patients met the inclusion criteria. Hemodynamic records and Visual Analogue Scale (VAS) pain scores for postoperative 0, 2, 4, 6, 9, and 12 hours were evaluated and patients were separated into 3 groups. Group 1: FNB with 0.25% bupivacaine, Group 2: FNB with 0.166% bupivacaine, and Group 3: No FNB. RESULTS: The average age of the patients was 64.3 +/- 14.9 years and average body mass index (BMI) was 32.5 +/- 5.3 kg/m(2). There was no statistical difference between groups in age, gender, American Society of Anesthesiologists (ASA) classification of physical health scores, BMI, or anesthesia type (p<0.05). When VAS scores at postoperative time intervals were compared, there was a statistically significant difference between Group 1 and Group 2 (p>0.05). When difference between Groups 1 and 3 and Groups 2 and 3 were compared, the difference was statistically significant for VAS 0 (p>0.05). Additional analgesic use was highest in Group 3. CONCLUSION: This study demonstrated that FNB significantly decreases postoperative pain intensity and additional analgesia requirement in patients undergoing TKA. A concentration of 0.166% bupivacaine is as effective as a concentration of 0.25% when used as part of a multimodal analgesia regimen in TKA.en_US
dc.identifier.doi10.14744/nci.2017.88598
dc.identifier.endpage130en_US
dc.identifier.issn2148-4902
dc.identifier.issue2en_US
dc.identifier.pmid28971169en_US
dc.identifier.startpage124en_US
dc.identifier.trdizinid243127en_US
dc.identifier.urihttps://dx.doi.org/10.14744/nci.2017.88598
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8405
dc.identifier.volume4en_US
dc.identifier.wosWOS:000408987200003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKARE PUBLen_US
dc.relation.ispartofNORTHERN CLINICS OF ISTANBULen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03146
dc.subjectAnalgesiaen_US
dc.subjectfemoral blocken_US
dc.subjectknee arthroplastyen_US
dc.titleEvaluation of analgesic regimens in total knee arthroplasty, retrospective studyen_US
dc.typeArticle
dspace.entity.typePublication

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