| Effect of perioperative administration of dexketoprofen on opioid requirements and inflammatory response following elective hip arthroplasty. | |
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MedLine Citation:
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PMID: 12066728 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In this double-blind, randomized, placebo-controlled trial, the safety and analgesic efficacy of perioperative dexketoprofen were evaluated. METHODS: Thirty ASA I or II patients undergoing elective hip arthroplasty were randomized to one of two groups. One group (D) received dexketoprofen 25 mg tds for 24 h before and 48 h after surgery; the second group (P) received placebo tablets at equivalent times. Hyperbaric 0.5% bupivacaine (17.5 mg if greater than 70 kg and 15 mg if less than 70 kg) and preservative-free morphine (0.6 mg) were administered intrathecally. Postoperatively, PCA was provided (bolus morphine sulphate 1 mg; lockout 5 min; no continuous infusion). RESULTS: The two groups were similar in terms of age, gender, weight, height, ASA class, duration of operation, and level of sensory block on arrival to the recovery room. Groups were also similar in terms of blood loss, transfusion requirements, ventilatory frequency, and haemodynamic variables. According to visual analogue pain scores patients in group D experienced less pain at 15 h (P=0.02) postoperatively. Cumulative morphine consumption was also less in group D compared with group P at 6 (0.06 (0.2) vs 0.85 (1.4) mg, P=0.04) and 48 h postoperatively (10.1 (8) vs 26.2 (20) mg, P<0.01). Plasma interleukin 6 concentrations increased postoperatively to a significantly lesser extent in group D than in group P (P=0.02). Nausea and vomiting were less (P<0.01) in group D compared with group P at 18 h postoperatively. Sedation scores were less (P=0.03) in group D. CONCLUSIONS: Perioperative administration of dexketoprofen 25 mg 8 hourly markedly improves analgesia and decreases opioid requirements (and associated adverse effects) following hip arthroplasty. It appears that this regimen decreases the postoperative pro-inflammatory response. |
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Authors:
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G Iohom; M Walsh; G Higgins; G Shorten |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of anaesthesia Volume: 88 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-06-17 Completed Date: 2002-06-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
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Languages: eng Pagination: 520-6 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital and National University of Ireland, Republic of Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Analgesics, Opioid / administration & dosage* Anesthesia, Spinal Anti-Inflammatory Agents, Non-Steroidal / therapeutic use* Arthroplasty, Replacement, Hip* Double-Blind Method Drug Administration Schedule Drug Therapy, Combination Female Hemodynamics / drug effects Humans Inflammation / prevention & control* Ketoprofen / analogs & derivatives*, therapeutic use* Male Middle Aged Pain, Postoperative / prevention & control* Perioperative Care / methods Prospective Studies Tromethamine / analogs & derivatives*, therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/dexketoprofen trometamol; 22071-15-4/Ketoprofen; 77-86-1/Tromethamine |
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