Analgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine.

Hdl Handle:
http://hdl.handle.net/10147/263321
Title:
Analgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine.
Authors:
Baker, Joseph F; McGuire, Ciara M; Byrne, Damien P; Hunter, Kim; Eustace, Nick; Mulhall, Kevin J
Affiliation:
Department of Orthopaedic Surgery, Sports Surgery Clinic, Dublin - Ireland.
Citation:
Analgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine. 2011, 21 (3):373-377 Hip Int
Journal:
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Issue Date:
7-Jun-2011
URI:
http://hdl.handle.net/10147/263321
DOI:
10.5301/HIP.2011.8390
PubMed ID:
21698591
Abstract:
Abstract: The optimum anaesthetic and analgesic management following hip arthroscopy is yet to be determined. There is, in addition, some concern over the use of intraarticular local anaesthetic. We compared the analgesic efficacy of intra-articular infiltration compared with portal infiltration of bupivacaine following hip arthroscopy. Patients were randomised to receive either 10ml of 0.25% bupivacaine either into the joint or around the portal sites following completion of surgery. 73 patients were recruited (40 intra-articular). The portal infiltration group required significantly more rescue analgesia immediately after surgery (2.33mg vs.0.57mg, p=0.036). Visual Analogue Scale pain scores were not significantly different at 1 and 2 hours following surgery, but at 6 hours the portal group had significantly lower VAS scores (p=0.0036). We believe that the initial pain following surgery results from capsular injury and this explains the need for more rescue analgesia in the portal infiltration group. Further work is needed to establish the ideal regimen. A combination of portal and intra-articular infiltration may be the most efficacious.
Item Type:
Article
Language:
en
ISSN:
1724-6067

Full metadata record

DC FieldValue Language
dc.contributor.authorBaker, Joseph Fen_GB
dc.contributor.authorMcGuire, Ciara Men_GB
dc.contributor.authorByrne, Damien Pen_GB
dc.contributor.authorHunter, Kimen_GB
dc.contributor.authorEustace, Nicken_GB
dc.contributor.authorMulhall, Kevin Jen_GB
dc.date.accessioned2012-12-20T10:25:06Z-
dc.date.available2012-12-20T10:25:06Z-
dc.date.issued2011-06-07-
dc.identifier.citationAnalgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine. 2011, 21 (3):373-377 Hip Inten_GB
dc.identifier.issn1724-6067-
dc.identifier.pmid21698591-
dc.identifier.doi10.5301/HIP.2011.8390-
dc.identifier.urihttp://hdl.handle.net/10147/263321-
dc.description.abstractAbstract: The optimum anaesthetic and analgesic management following hip arthroscopy is yet to be determined. There is, in addition, some concern over the use of intraarticular local anaesthetic. We compared the analgesic efficacy of intra-articular infiltration compared with portal infiltration of bupivacaine following hip arthroscopy. Patients were randomised to receive either 10ml of 0.25% bupivacaine either into the joint or around the portal sites following completion of surgery. 73 patients were recruited (40 intra-articular). The portal infiltration group required significantly more rescue analgesia immediately after surgery (2.33mg vs.0.57mg, p=0.036). Visual Analogue Scale pain scores were not significantly different at 1 and 2 hours following surgery, but at 6 hours the portal group had significantly lower VAS scores (p=0.0036). We believe that the initial pain following surgery results from capsular injury and this explains the need for more rescue analgesia in the portal infiltration group. Further work is needed to establish the ideal regimen. A combination of portal and intra-articular infiltration may be the most efficacious.en_GB
dc.languageENG-
dc.language.isoenen
dc.rightsArchived with thanks to Hip international : the journal of clinical and experimental research on hip pathology and therapyen_GB
dc.titleAnalgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Orthopaedic Surgery, Sports Surgery Clinic, Dublin - Ireland.en_GB
dc.identifier.journalHip international : the journal of clinical and experimental research on hip pathology and therapyen_GB
dc.description.provinceLeinsteren

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