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

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dc.contributor.authorKöroğlu S.
dc.contributor.authorTakmaz S.A.
dc.contributor.authorKaymak Ç.
dc.contributor.authorNarli A.
dc.contributor.authorKaralezli K.
dc.contributor.authorDikmen B.
dc.date.accessioned2020-06-25T15:14:16Z
dc.date.available2020-06-25T15:14:16Z
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.en_US
dc.identifier.citationKöroğlu, S., Takmaz, S. A., Kaymak, Ç., Narlı, A., Kalezli, K., Dikmen, B. (2008). Total kalça protezinde preoperatif 3-1 bloğun postoperatif ağrı ve tramadol tüketimi üzerine etkisi. Ağrı, 20(1), 19 - 25.en_US
dc.identifier.endpage25en_US
dc.identifier.issn13000012
dc.identifier.issue1en_US
dc.identifier.pmid18338275
dc.identifier.scopus2-s2.0-54049092480
dc.identifier.scopusqualityQ3
dc.identifier.startpage19en_US
dc.identifier.trdizinidtrdizinikyoktur
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2062
dc.identifier.volume20en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofAgri
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject3-in-1 blocken_US
dc.subjectPostoperative analgesiaen_US
dc.subjectTotal hip arthroplastyen_US
dc.subjectTramadolen_US
dc.titleThe preoperative analgesic effect of 3-in-1 block on postoperative pain and tramadol consumption in total hip arthroplastyen_US
dc.typeArticle

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