Greimel, Felix and Maderbacher, Guenther and Baier, Clemens and Keshmiri, Armin and Schwarz, Timo and Zeman, Florian and Meissner, Winfried and Grifka, Joachim and Benditz, Achim (2018) Multicenter cohort-study of 15326 cases analyzing patient satisfaction and perioperative pain management: general, regional and combination anesthesia in knee arthroplasty. SCIENTIFIC REPORTS, 8: 3723. ISSN 2045-2322,
Full text not available from this repository. (Request a copy)Abstract
Numbers of knee replacement surgeries have been rising over the past years. After having ameliorated operation techniques and material, pain management and anesthetic methods have come into focus. All 15326 patients included had undergone primary knee arthroplasty within this multicenter cohort-study, conducted in 46 orthopedic departments. Parameters were evaluated on first postoperative day. Primary outcome values were pain levels (activity, minimum and maximum pain, and pain management satisfaction). Pain medication necessity was analyzed. Parameters were compared between the types of anesthesia used: general, regional and combination anesthesia. Pain scores and pain management satisfaction were significantly better in the groups of either spinal or peripheral anesthesia combined with general anesthesia (p < 0.001, respectively). Patients who received the combination of general and spinal anesthesia were associated with the lowest need for opioids (p < 0.001). The use of a combined general and spinal anesthesia as well as using a combination of general and peripheral anesthesia in knee arthroplasty was associated with a highly significant advantage to other anesthetic techniques regarding perioperative pain management in daily clinical practice, but maybe below clinical relevance. Furthermore they were associated with positive tendency considering side effects and subjective wellbeing parameters.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PERIPHERAL-NERVE BLOCKS; TOTAL HIP-ARTHROPLASTY; POSTOPERATIVE PAIN; ORTHOPEDIC-SURGERY; SPINAL-ANESTHESIA; REPLACEMENT; QUALITY; MORTALITY; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Mar 2020 13:51 |
| Last Modified: | 16 Mar 2020 13:51 |
| URI: | https://pred.uni-regensburg.de/id/eprint/15017 |
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