| Postoperative pain relief; a new approach: narcotics compared with non-steroidal anti-inflammatory drugs. | |
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MedLine Citation:
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PMID: 3056209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The pain relief provided by regular intramuscular diclofenac and on demand intramuscular papaveretum was compared over a 48 h postoperative period in 114 patients undergoing total hip replacement. The study was of a randomised, single-blind, between-group design. Patients were assessed by a surgeon, physiotherapist and nursing staff. Diclofenac was more effective than papaveretum in pain control (P less than 0.001), wound tenderness (P less than 0.01), awareness (P less than 0.001) and mobilisation (P less than 0.01). Wound drainage (P greater than 0.05) and wound oedema (P greater than 0.05) were not significantly different in the two treatments. Gastrointestinal complications were encountered in both groups; two patients on diclofenac had to be withdrawn because of them. The use of diclofenac given as a postoperative analgesic is rewarding, particularly in patients undergoing musculoskeletal procedures. Patients will be more comfortable and will mobilise better during their whole postoperative course. |
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Authors:
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J M Buchanan; J Baldasera; P H Poole; J Halshaw; J K Dallard |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 70 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 1988 Sep |
Date Detail:
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Created Date: 1988-12-12 Completed Date: 1988-12-12 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 332-5 Citation Subset: IM |
Affiliation:
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Sunderland District General Hospital. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Clinical Trials as Topic Diclofenac / therapeutic use* Female Hip Prosthesis Humans Male Middle Aged Opium / therapeutic use* Pain, Postoperative / drug therapy* Random Allocation |
| Chemical | |
Reg. No./Substance:
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15307-86-5/Diclofenac; 8008-60-4/Opium |
| Comments/Corrections | |
Comment In:
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Ann R Coll Surg Engl. 1990 Jan;72(1):66
[PMID:
2137319
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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