Eficácia analgésica do uso de dose alta de morfina intra-articular em pacientes submetidos à artroplastia total de joelho

Garcia, João Batista Santos; Neto, José Osvaldo Barbosa; Vasconcelos, José Wanderley; Ferro, Letácio Santos Garcia; Silva, Rafaelle Carvalho e

doi:10.1590/s0034-70942010000100001

Cited by 2 publications

(3 citation statements)

References 33 publications

(56 reference statements)

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“…Rosseland et al 25 , Borner et al 11 , and Garcia et al 35 have used this type of analysis in their work, which follows the general trend of most studies on this topic. We believe this is the best way to evaluate the efficacy of therapy, because, whereas the effect of intervention with rescue analgesics tends to homogenize VAS scores, the analysis of indirect data allows characterizing the effectiveness of IA S(+)-ketamine with more reliability.…”

Section: Discussionmentioning

confidence: 99%

“…Intra-articular morphine at high doses (10 mg) was tested on postoperative TKA, with lower pain scores, consumption, and time of rescue analgesia compared to placebo 35 . Fu et al 7 , used morphine 5 mg, bupivacaine 15 mg, and betamethasone 1 mL intra-articularly in postoperative TKA and found lower pain scores.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies using drain opens it between 10 min 17 and 15 min 35 , due to a hyperkinetic blood flow there is a displacement of the drug from its peripheral receptor, which influences the quality and duration of analgesic effect. One interesting possibility would be the non-use of suction drain, which would guarantee the permanence of the whole solution injected into the joint.…”

Section: Discussionmentioning

confidence: 99%

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Eficácia analgésica do uso da dextrocetamina intra-articular em pacientes submetidos a artroplastia total do joelho

Sobrinho

Garcia

Vasconcelos

et al. 2012

Rev. Bras. Anestesiol.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Eficácia analgésica do uso da dextrocetamina intra-articular em pacientes submetidos a artroplastia total do joelho

Sobrinho

Garcia

Vasconcelos

et al. 2012

Rev. Bras. Anestesiol.

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Epidural Abscess Following Epidural Catheterization for Painless Mobilization after Total Knee Arthroplasty

Lee

Wang

Song

2014

J Korean Orthop Assoc

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To prevent complications from delayed rehabilitation and to promote early recovery of the joint function after total knee arthroplasty, various options of postoperative pain control have been suggested. 1,2) Epidural analgesia is one of the effective methods for pain management after total knee arthroplasty.However, epidural analgesia can cause dural puncture and lead to complications such as post-dural puncture headache, low back pain, cord injury, epidural hematoma and neurologic symptoms. Although, epidural analgesia has been reported to have very low epidural abscess rates, 3) infection could be a serious and life-threatening problem if there is no early diagnosis and treatment. Back pain is an early sign of infection related to epidural analgesia, 4) but may be ignored in postoperative elderly patients who had been having back pain prior to an operation. We report a patient who developed an epidural abscess following lumbar epidural catheterization for painless rehabilitation after total knee arthroplasty. CASE REPORTA 68-year-old woman undertook staged bilateral total knee arthroplasty. Her medical history included chronic hepatitis C and hypertension, which were well managed by medication. The patient immediately started straight leg raising and quadriceps isometric exercise after surgery, and range of motion (ROM) exercise using continuous passive motion (CPM) on the 2nd postoperative day. However, due to pain, she had difficulty in achieving scheduled ROM of operated knees. Therefore, fentanyl transdermal patch (Durogesic D-TRANS; Janssen-Cilag) was added to routine postoperative pain regimen, while intravenous patient controlled analgesia (IV PCA) was still maintained.On the 24th postoperative day, the ROM of the right knee was Epidural analgesia is one of the effective methods for pain management after total knee arthroplasty. Although epidural analgesia has been reported to have very low epidural abscess rates, infection could be serious and life-threatening, if there is no early diagnosis and treatment. We report on a patient who developed an epidural abscess following epidural catheterization after total knee arthroplasty.

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Eficácia analgésica do uso de dose alta de morfina intra-articular em pacientes submetidos à artroplastia total de joelho

Cited by 2 publications

References 33 publications

Eficácia analgésica do uso da dextrocetamina intra-articular em pacientes submetidos a artroplastia total do joelho

Eficácia analgésica do uso da dextrocetamina intra-articular em pacientes submetidos a artroplastia total do joelho

Epidural Abscess Following Epidural Catheterization for Painless Mobilization after Total Knee Arthroplasty

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