A Statistical Model for Pain in Patient-Controlled Analgesia and Conventional Intramuscular Opioid Regimens

Fm, Ferrante; Ej, Orav; Ag, Rocco; Gallo, Jeffrey P.

doi:10.1213/00000539-198805000-00007

Cited by 104 publications

(21 citation statements)

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“…Según la evidencia científica que hay hasta el momento en cirugía ortopédica de PTR, el uso de opioides combinado con otro analgésico goza de una recomendación grado A, con una evidencia 4, para el tratamiento del dolor intenso 73,[77][78][79] . La infusión a través de sistemas de PCA es de elección en cirugía de PTR porque mejora el dolor y la satisfacción del paciente (Recomendación B, Evidencia 1) 79 .…”

Section: Opioides Y Derivadosunclassified

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Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

Morales-Muñoz

Sánchez-Ramos

Díaz-Lara

et al. 2017

Revista Española de Anestesiología y Reanimación

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Section: Opioides Y Derivadosunclassified

“…La infusión a través de sistemas de PCA es de elección en cirugía de PTR porque mejora el dolor y la satisfacción del paciente (Recomendación B, Evidencia 1) 79 .…”

Section: Opioides Y Derivadosunclassified

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

Morales-Muñoz

Sánchez-Ramos

Díaz-Lara

et al. 2017

Revista Española de Anestesiología y Reanimación

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“…One study also showed that the time to first analgesic request was significantly longer with parecoxib compared with placebo [14] (see Table 1). [19] Inconclusive Ropivacaine via femoral catheter [117] NS Bupivacaine via femoral catheter [35] NS Spinal diamorphine [42] NS Spinal morphine [43] NS Lumbar epidural ketamine [52] NS Lumbar epidural ropivacaine [50,53] Inconclusive Route and method of drug administration IV vs IM strong opioid [23] NS IV PCA vs IM strong opioid [24] IM superior for moderate pain scores Surgical approaches Medial trivector approach [61], Subvastus approach [62], vs parapatellar approach NS Posterior cruciate ligament (PCL) surgery during TKA: different surgical approaches [63] PCL released surgery inferior to other approaches Midvastus approach vs medial parapatellar approach [64] Midvastus superior at rest and on movement…”

Section: Cox-2-selective Inhibitorsmentioning

confidence: 99%

A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

Fischer¹,

Simanski²,

Sharp³

et al. 2008

Anaesthesia

264

218

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SummaryThe PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence‐based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non‐steroidal anti‐inflammatory drugs or COX‐2‐selective inhibitors, plus intravenous strong opioids (high‐intensity pain) or weak opioids (moderate‐ to low‐intensity pain).

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“…18 Small intermittent dose of intravenous pethidine groups showed effective and safe analgesia in this study which was compared with intravenous PCA based combined analgesic studies using morphine, fentanyl, indomethacine and diclofenac. 7,11,17 Early analgesia (within 30 min) was achieved in this study with small does of intravenous pethidine which was compared with PCA based single opioid therapy 19,20,21,22 . PCA therapy is considered to be a safe but high doses of opioid was required.…”

Section: Discussionmentioning

confidence: 90%

Effect of small dose intermittent IV pethidine in combination with diclofenac for post operative pain relief

Banik

Hye

Akhtaruzzaman

et al. 2014

j Bangladesh Soc Anaesthesiologists

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Background: Post operative pain is an acute type of pain. There is convincing evidence that unrelieved post operative pain may result in harmful physiological and psychological effects with significant morbidity and even mortality. Complete and effective pain management is an essential for the patient who recovers from surgery. For this reason we used easy available drugs opioid, NSAID and its combination for better post operative analgesia with the aim of avoiding expensive patient controlled analgesia technique, infusion or intramuscular painful roout of administration. Methods: 120 patients ASA grade-I and II were selected for post operative pain releive in upper and lower abdominal surgery. All patients divided into three groups and each group are equal in number and same type of surgery. Among the three groups, two groups received small intermittent intravenous pethidine and diclofenac pre and post operatively and other groups received intra muscular pethidine with diclofenac pre and post operatively (controlled group). All vital parameter and pain score both VAS and VRS were recorded in perioperative period up to 24 hours postoperatively. Result: Good level of anaesthesia was achieved in all groups (VAS>30mm) of upper and lower abdominal surgery except early post operative period. In early post operative period significant difference of VAS in group II and III (P<.01) was found with group I. But after half an hour and one hour significant difference of VAS in group II and III (P<0.02, P<0.001) was found with group I. Over all excellent analgesia was possible in group II VAS, VRS always more than 30mm and all vital sign were stable. Conclusion: Small intravenous intermittent dose of pethidine in combination with diclofenac sodium effectively controlled post-operative pain. DOI: http://dx.doi.org/10.3329/jbsa.v22i2.18140 Journal of BSA, 2009; 22(2): 40-47

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A Statistical Model for Pain in Patient-Controlled Analgesia and Conventional Intramuscular Opioid Regimens

Cited by 104 publications

References 0 publications

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

Effect of small dose intermittent IV pethidine in combination with diclofenac for post operative pain relief

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