Choice of intrathecal opioid for hip arthroplasty
نویسندگان
چکیده
منابع مشابه
Evaluation of the usefulness of intrathecal bupivacaine infusion for analgesia after hip and knee arthroplasty.
Spinal anaesthesia in 47 ASA I-III patients was induced with 0.5% bupivacaine 2 ml via a 28-gauge spinal catheter (L3-4 interspace) and 0.5-ml increments were given if needed before or during hip or knee arthroplasty. Intrathecal 24-h infusions consisted of 0.5% bupivacaine 0.4 ml h-1 (2 mg h-1) (n = 12), 0.5% bupivacaine 0.2 ml h-1 (1 mg h-1) (n = 12) or saline (n = 11) (12 exclusions). Patien...
متن کاملIs high hip center technique an acceptable choice for total hip arthroplasty of the developmental dysplasia of the hip?
Total hip arthroplasty (THA) is a successful method to treat osteoarthritis secondary to the developmental dysplasia of the hip (DDH). As anatomic deformity of acetabulum, anatomic hip center placing of the socket may lead insufficient host bone coverage, therefore, high hip center (HHC) technique is an alternative choice. Location of the hip rotation center can be referenced by inter teardrop ...
متن کاملIntrathecal opioid versus ultrasound guided fascia iliaca plane block for analgesia after primary hip arthroplasty: study protocol for a randomised, blinded, noninferiority controlled trial
BACKGROUND Hip replacement surgery is increasingly common due to an ageing population, and rising levels of obesity. The provision of excellent pain relief with minimal side effects is important in order to facilitate patient mobilisation and rehabilitation.Spinal opioids provide excellent analgesia but are associated with adverse effects. The fascia-iliaca block is an alternative technique whi...
متن کاملTotal hip arthroplasty for childhood fused hip.
The conversion of a painless fused hip of a long standing duration to a mobile hip is usually not demanded due to a number of per-operative problems, iatrogenic complications and a high demanding procedure. The conversion is, however, required when a patient develops chronic back pain or a painful pseudoarthrosis of the hip. Conversion due to pseudoarthrosis in a recent fracture through femoral...
متن کاملNo clinically relevant advantage of intrathecal morphine in total hip arthroplasty?
Adding morphine to intrathecal bupivacaine provides sound analgesia, but is associated with side effects. The purpose of this study is to investigate if the contribution of intrathecal morphine to postoperative analgesia for total hip replacement outweighs its side effects in a modern multimodal setting. From November 2012 till January 2013 patients undergoing total hip arthroplasty (THA) under...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Anaesthesia
سال: 2017
ISSN: 0003-2409
DOI: 10.1111/anae.13792