The preoperative analgesic effect of 3-in-1 block on postoperative pain and tramadol consumption in total hip arthroplasty

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dc.authoridakin takmaz, suna/0000-0002-0805-0550
dc.contributor.authorKoroglu, Suleyman
dc.contributor.authorTakmaz, Suna Akin
dc.contributor.authorKaymak, Cetin
dc.contributor.authorNarli, Altug
dc.contributor.authorKaralezli, Kubilay
dc.contributor.authorDikmen, Bayazit
dc.date.accessioned2025-01-21T16:55:11Z
dc.date.available2025-01-21T16:55:11Z
dc.date.issued2008
dc.departmentKırıkkale Üniversitesi
dc.description.abstractWe studied the effect of preoperative 3-in-1 block for total hip replacement surgery on postoperative pain and tramadol consumption during patient-controlled analgesia. Thirty ASA I-II patients undergoing elective total hip arthroplasty (THA) were included in the study. Patients were randomly divided into 2 groups; Group I: Patients who received 3-in-1 block with 40 ml of 0.25% bupivacaine 30-minutes before surgery and later received general anesthesia, Group II: Patients who received only a simple needle puncture at the operation site 30-minutes before surgery and later received general anesthesia. All patients received intravenous tramadol at the end of surgery via a PCA device. Pain was evaluated at 0,1/2,1,4,8,12,24 and 48h at rest and on movement of the hip, using a 10cm VAS. The average intraoperative fentanyl consumption was lower in Group I than in Group II. VAS scores were significantly lower in group I, both at rest and during movement at all timepoints over in the first postoperative 12h and also during movement 24h postoperatively. However differences in VAS scores weren't clinically significant after 4 hours. In the recovery room, Group I VAS scores were only a third of Group II, both at rest and movement (p=0.0001). Total tramadol consumption was lower in GroupI (633.0 +/- 119.3 mg) than in GroupII (991.1 +/- 41.0 mg). Patient satisfaction scores were higher in GroupI than in GroupII. We concluded that preoperative 3-in-1 block with 40 ml-0,25% bupivacaine provides effective postoperative pain relief for elective THA, reducing intra-and postoperative analgesic consumption without increase in side effects.
dc.identifier.endpage25
dc.identifier.issn1300-0012
dc.identifier.issue1
dc.identifier.pmid18338275
dc.identifier.scopusqualityQ3
dc.identifier.startpage19
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25717
dc.identifier.volume20
dc.identifier.wosWOS:000421059300003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAgri-The Journal of The Turkish Society of Algology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectTotal hip arthroplasty; postoperative analgesia; 3-in-1 block; tramadol
dc.titleThe preoperative analgesic effect of 3-in-1 block on postoperative pain and tramadol consumption in total hip arthroplasty
dc.typeArticle

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