. 2014; 29(1): 32-37 | DOI: 10.5222/J.GOZTEPETRH.2014.032 | |||
A similar analgesic protocol may be use after total hip and knee arthroplastyKoray Ünay1, Abdullah Bilge2, Ferah Alay Ünay3, Kaya Akan1, Oğuz Poyanlı11Göztepe Research and Training Hospital, Department of Orthopedics and Traumatology, Istanbul2Gebze Medicalpark Hospital, Department of Orthopedics nad Traumatology, Istanbul 3Zeynep Kamil Women and Children Research and Training Hospital, Department of Anesthesiology, Istanbul It is said that patients undergoing total knee arthroplasty need more analgesics postoperatively than those undergoing total hip arthroplasty. In this study, we hypothesized that the same intramuscular morphine protocol may be used in both total hip and knee arthroplasties. This was a randomized, prospective, controlled trial. Twenty patients who were hospitalized for total hip arthroplasty and 20 patients for total knee arthroplasty consisted the study groups. Using visual analog scale for pain, the patients responded to questions regarding their first night’s sleep and the side effects of morphine sulfate. On the first postoperative day, 20 mg/day (4x5 mg) intramuscular morphine sulfate were administered. The patients were questioned at the 6th and 24th postoperative hours. There were no statistical differences between the total hip arthroplasty and total knee arthroplasty groups in terms of pain, first night’s sleep or the side effects of morphine sulfate at the 6th or 24th postoperative hours. After administration of the same intramuscular morphine sulfate protocol, early postoperative pain and the side effects of morphine sulfate were comparable between the total hip and knee arthroplasty groups, so the same intramuscular morphine protocol may be used in total hip and knee arthroplasties. Keywords: Knee, hip, arthroplasty, morphine sulfate, pain, side effects, night’s sleepTotal kalça ve diz artroplastisi sonrası uygulanabilecek benzer bir analjezi protokolüKoray Ünay1, Abdullah Bilge2, Ferah Alay Ünay3, Kaya Akan1, Oğuz Poyanlı11Göztepe Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul2Gebze Medicalpark Hastanesi, Ortopedi nad Travmatoloji Anabilim Dalı, İstanbul 3Zeynep Kamil Kadın ve Çocuk Eğitim ve Araştırma Hastanesi, Anesteziyoloji Anabilim Dalı, İstanbul Total diz artroplastisi uygulanan hastaların total kalça artroplastisi uygulanan hastalarla karşılaştırıldığında postoperatif dönemde daha fazla analjezik ihtiyacı olduğu düşünülmektedir. Koray Ünay, Abdullah Bilge, Ferah Alay Ünay, Kaya Akan, Oğuz Poyanlı. A similar analgesic protocol may be use after total hip and knee arthroplasty. . 2014; 29(1): 32-37 Corresponding Author: Koray Ünay, Türkiye |
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