지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.69 No.4
- 발행연도
- 2016.1
- 수록면
- 368 - 374 (7page)
이용수
초록· 키워드
오류제보하기
Background: Both neuraxial and peripheral regional analgesic techniques offer postoperative analgesia for total hip arthroplasty (THA) patients. While no single technique is preferred, quadriceps muscle weakness from peripheral nerve blocks may impede rehabilitation. We designed this study to compare postoperative ambulation outcome in THA patients who were treated with a new ultrasound-guided fascia iliaca catheter (FIC) technique or intrathecal morphine (ITM). Methods: We reviewed the electronic health records of a sequential series of primary unilateral THA patients who were part of a standardized clinical pathway; apart from differences in regional analgesic technique, all other aspects of the pathway were the same. Our primary outcome was total ambulation distance (meters) combined for postoperative days 1 and 2. Secondary outcomes included daily opioid consumption (morphine milligram equivalents) and analgesic-related side effects. We examined the association between the primary outcome and analgesic technique by performing crude and adjusted ordinary least-squares linear regression. A P value < 0.05 was considered statistically-significant. Results: The study analyzed the records of 179 patients (fascia iliaca, n = 106; intrathecal, n = 73). The primary outcome (total ambulation distance) did not differ between the groups (P = 0.08). Body mass index (BMI) was the only factor (β = −1.7 [95% CI −0.5 to −2.9], P < 0.01) associated with ambulation distance. Opioid consumption did not differ, while increased pruritus was seen in the intrathecal group (P < 0.01). Conclusions: BMI affects postoperative ambulation outcome after hip arthroplasty, whereas the type of regional analgesic technique used does not. An ultrasound-guided FIC technique offers similar analgesia with fewer side effects when compared with ITM.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Merrill C / Hospital Stays Involving Musculoskeletal Procedures, 1997–2005
Barbieri A / 2009 / Effects of clinical pathways in the joint replacement: a meta-analysis / BMC Med 7:32
Bernucci F / 2012 / Functional outcome after major orthopedic surgery: the role of regional anesthesia redefined / Curr Opin Anaesthesiol 25:621~628
Hebl JR / 2008 / A pre-emptive multimodal pathway featuring peripheral nerve block improves perioperative outcomes after major orthopedic surgery / Reg Anesth Pain Med 33:510~517
Napier RJ / 2013 / Modifiable factors delaying early discharge following primary joint arthroplasty / Eur J Orthop Surg Traumatol 23:665~669
Barbieri A / 2009 / Effects of clinical pathways in the joint replacement: a meta-analysis / BMC Med 7:32
Bernucci F / 2012 / Functional outcome after major orthopedic surgery: the role of regional anesthesia redefined / Curr Opin Anaesthesiol 25:621~628
Hebl JR / 2008 / A pre-emptive multimodal pathway featuring peripheral nerve block improves perioperative outcomes after major orthopedic surgery / Reg Anesth Pain Med 33:510~517
Napier RJ / 2013 / Modifiable factors delaying early discharge following primary joint arthroplasty / Eur J Orthop Surg Traumatol 23:665~669
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