prikaz prve stranice dokumenta Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study
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Scientific paper - Original scientific paper
Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study
Collegium Antropologicum, 35 (2011), 4; 1209-1214. urn:nbn:hr:105:629631
Baranović, Senka; Maldini, Branka; Milošević, Milan; Golubić, Rajna; Nikolić, Tatjana

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Baranović, S., Maldini, B., Milošević, M., Golubić, R. & Nikolić, T. (2011). Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study . Collegium Antropologicum, 35. (4), 1209-1214. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:629631

Baranović, Senka, et al. "Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study ." Collegium Antropologicum, vol. 35, no. 4, 2011, pp. 1209-1214. https://urn.nsk.hr/urn:nbn:hr:105:629631

Baranović, Senka, Branka Maldini, Milan Milošević, Rajna Golubić and Tatjana Nikolić. "Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study ." Collegium Antropologicum 35, no. 4 (2011): 1209-1214. https://urn.nsk.hr/urn:nbn:hr:105:629631

Baranović, S., et al. (2011) 'Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study ', Collegium Antropologicum, 35(4), pp. 1209-1214. Available at: https://urn.nsk.hr/urn:nbn:hr:105:629631 (Accessed 07 May 2024)

Baranović S, Maldini B, Milošević M, Golubić R, Nikolić T. Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study . Collegium Antropologicum [Internet]. 2011 December [cited 2024 May 07];35(4):1209-1214. Available at: https://urn.nsk.hr/urn:nbn:hr:105:629631

S. Baranović, B. Maldini, M. Milošević, R. Golubić and T. Nikolić, "Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study ", Collegium Antropologicum, vol. 35, no. 4, pp. 1209-1214, December 2011. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:629631. [Accessed: 07 May 2024]

Metadata
Title (english)Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study
Title (croatian)Periferna regionalna analgezija versus intravenozna "patient controlled" analgezija nakon ugradnje totalne proteze koljena: prospektivna, randomizirana studija
AuthorSenka Baranović
AuthorBranka Maldini
AuthorMilan Milošević
AuthorRajna Golubić
AuthorTatjana Nikolić
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
The aim of this study is to compare the effects of femoral analgesia (FA) with 0.25% levobupivacain and intravenous patient controlled analgesia (PCA) with morphine on postoperative pain assessed by a visual-analog scale (VAS) score and their complications during the first 24 postoperative hours after the a total knee arthroplasty in a prospective randomized study. Secondary outcomes included: morphine use, patient satisfaction, complication of analgesia and duration of hospital stay. We analyzed 71 patients with an ASA score of II or III. The patients were randomized into two groups: group PCA (n = 36) was given the PCA pump, which contained morphine; and group FA (n = 35) was given first a bolus dose, then a continuous infusion 0.25% levobupivacain via a femoral catheter. The assessment of VAS was performed every 2 hours. There were no differences between the PCA and FA groups regarding demographic characteristics, operation duration, ASA score distribution, duration of hospital stay and satisfaction with analgesia (although there were more satisfied patients in the FA group). Significant differences were noted in the quantity of morphine used (higher values were in the PCA group; p < 0.001). More complications were recorded in PCA group (p < 0.001). The VAS score was lower in the FA group (p < 0.001). The highest difference occurred 4 hours after the operation, with the PCA group having significantly higher VAS score values compared to the FA group. Femoral analgesia leads to a stronger pain relief with less side effects, less morphine use and more patient satisfaction than intravenous PCA with morphine.
Abstract (croatian)
Cilj ove prospektivne, randomizirane studije je usporediti učinak femoralne analgezije (FA) 0,25% levobupivakainom i intravenozne »patient controlled« analgezije (PCA) morphinom na ishod poslijeoperacijske boli, kao i njihove komplikacije 24 h nakon ugradnje totalne proteze koljena. Sekundarni cilj uključuje: razliku u potrošnji morphina po grupama, zadovoljstvo bolesnika analgezijom, komplikacije analgezije, trajanje hospitalizacije. Analizirali smo 71 bolesnika, ASA II i III skora. Bolesnici su randomizirani u dvije grupe: grupa PCA (n=36) je analgezirana intravenoznom PCA morphinom; grupa FA (n=36) je analgezirana preko femoralnog katetera kontinuiranom infuzijom 0,25% levobupivakainom. Procjena VAS boli je vršena svaka 2 sata u mirovanju i pokretu. Nije bilo statistički značajne razlike među grupama u demografskim karakteristikama, trajanju operacije, ASA distribuciji, trajanju hospitalizacije i zadovoljstvu analgezijom (premda je grupa FA bila zadovoljnija). Statistički značajna razlika je bila u potrošnji morphina (veća potrošnja kod PCA grupe; p<0,001). Više komplikacije je bilo u grupi PCA (p<0,001). VAS je bio niži u grupi FA (p<0,001). Najveća razlika u VAS-u je bila 4 sata nakon operacije; grupa PCA je imala signifikantno veći VAS nego grupa FA. Femoralna analgezija doprinosi boljoj kontroli boli sa manje nuspojava, manjom potrošnjom morphina i većim zadovoljstvom bolesnika nego intravenozna PCA sa morphinom.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 35, no. 4, pp. 1209-1214
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:629631
Publication2011-12
Document URLhttp://hrcak.srce.hr/file/112364
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-27 19:26:28