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Periarticular Ketorolac Improves Outcomes for Patients With Joint Replacements
Laura Sasse1,2,3, Betsy Laessig-Stary1,2,3, Tracey Abitz1,2,3
1Laura Sasse, ND, RN, ONC, Clinical Nurse Specialist, Orthopedics and General Surgery, University Hospital, UW Health, Madison, WI.
Orthopedic Nursing
|January 25, 2020
Summary
Periarticular ketorolac injections significantly improve outcomes after joint replacement surgery. Patients experienced shorter hospital stays, increased mobility in physical therapy, and reduced opioid consumption, leading to lower healthcare costs.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Pharmacology
Background:
- Effective pain management post-joint replacement is crucial for patient recovery.
- Early mobilization, reduced hospital stays, and decreased opioid use are key goals.
- Periarticular ketorolac injections have emerged as a significant factor in pain management.
Purpose of the Study:
- To compare postoperative outcomes between patients receiving periarticular ketorolac injections and those who did not.
- To evaluate the impact of ketorolac on length of stay, ambulation, and opioid consumption.
- To analyze the efficacy of periarticular ketorolac in joint replacement surgery.
Main Methods:
- Retrospective review of 161 patient charts from January 2012 to December 2014.
- Comparison of outcomes between patients who received ketorolac injections and a control group.
- Data collected included length of stay, first physical therapy (PT) session ambulation distance, and postoperative opioid use.
Main Results:
- Ketorolac injections demonstrated a statistically significant positive impact on patient outcomes.
- Patients receiving periarticular ketorolac had shorter hospital stays.
- Further results showed increased ambulation distance in the first PT session and reduced opioid use on postoperative day 1.
Conclusions:
- Periarticular ketorolac injections are effective in reducing pain and improving postoperative outcomes.
- The use of ketorolac contributes to enhanced patient recovery and mobility.
- Improved outcomes associated with periarticular ketorolac injections lead to reduced healthcare costs.
