Local anaesthesia methods for analgesia after total hip replacement: Problems of anatomy, methodology and interpretation?

Local anaesthesia methods for analgesia after total hip replacement: Problems of anatomy,... In the present issue of the Scandinavian Journal of Pain, Ján Kuchalik and co-workers from Örebro and Stockholm report clinical results of comparing local infiltration analgesia (LIA) with femoral nerve block (FNB) for analgesia after total hip arthroplasty (THA) [1].They found LIA to be favourable in terms of less immediate motor-block, less pain and less rescue opioid analgesics at some of the registrations during the first 48 h postoperatively. There were no differences between the groups in time to hospital discharge, post discharge function or pain after 3 months or 6 months. In another report from the same study, they also found lower levels of blood pro- and anti-inflammatory cytokines 4 h after the procedure with LIA, possibly flawed by mixing ketorolac only for the LIA mixture [2].1An increasingly frequent and often painful surgical procedureTotal hip replacement arthroplasty (THA) is one of the most frequently performed surgical procedures in the western world (http://ec.europa.eu/eurostat/statistics-explained/index.php/Surgical_operations_and_procedures_statistics).With an ageing population, increased prevalence of osteoarthritis (arthrosis) and increased access to surgical service also in less affluent areas of the world, the number of patients for this procedure is expected to increase further. The post-operative pain after THA is often considered to be of intermediate http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Local anaesthesia methods for analgesia after total hip replacement: Problems of anatomy, methodology and interpretation?

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Publisher
de Gruyter
Copyright
© 2017 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2017.05.003
Publisher site
See Article on Publisher Site

Abstract

In the present issue of the Scandinavian Journal of Pain, Ján Kuchalik and co-workers from Örebro and Stockholm report clinical results of comparing local infiltration analgesia (LIA) with femoral nerve block (FNB) for analgesia after total hip arthroplasty (THA) [1].They found LIA to be favourable in terms of less immediate motor-block, less pain and less rescue opioid analgesics at some of the registrations during the first 48 h postoperatively. There were no differences between the groups in time to hospital discharge, post discharge function or pain after 3 months or 6 months. In another report from the same study, they also found lower levels of blood pro- and anti-inflammatory cytokines 4 h after the procedure with LIA, possibly flawed by mixing ketorolac only for the LIA mixture [2].1An increasingly frequent and often painful surgical procedureTotal hip replacement arthroplasty (THA) is one of the most frequently performed surgical procedures in the western world (http://ec.europa.eu/eurostat/statistics-explained/index.php/Surgical_operations_and_procedures_statistics).With an ageing population, increased prevalence of osteoarthritis (arthrosis) and increased access to surgical service also in less affluent areas of the world, the number of patients for this procedure is expected to increase further. The post-operative pain after THA is often considered to be of intermediate

Journal

Scandinavian Journal of Painde Gruyter

Published: Jul 1, 2017

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