相关实验视频

Updated: Jul 21, 2025

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

变量环护使用对全膝关节关节整形术后疼痛的时间影响

Saman Vojdani¹, R Alex Ruberto², Anastasia Gazgalis²

¹Columbia University Irving Medical Center, New York, NY, USA; Total Joint Specialists, Atlanta, GA, USA.

|July 27, 2023

概括

在全膝关节整形术 (TKA) 中,使用带超过60分钟,与术后阿片类药物使用率更高有关. 然而,功能性结果和患者报告的措施在一年后仍然可比,无论门的持续时间如何.

科学领域:

整形外科手术整形外科手术
关节塑造研究关节塑造研究
疼痛管理疼痛管理

背景情况:

在全膝关节整形术 (TKA) 中使用围护是一个备受争议的话题.
轮持续时间对术后疼痛和阿片类药物消费的影响需要进一步调查.

研究的目的:

为了研究在TKA患者的带应用时间和术后阿片类药物利用之间的关系.
为了确定增加带时间是否与手术后增加的疼痛和阿片类药物需求相关.

主要方法:

2016年10月至2019年9月期间对1110个TKA进行的回顾性审查.
根据轮的持续时间,患者被分为四组:不使用 (≤10分钟),低使用 (11-60分钟),中等使用 (61-90分钟) 和长时间使用 (91-120分钟).
术后的阿片类药物被量化为每日吗啡毫克相当量 (MME/day),其次要结果包括运动范围 (ROM) 和患者报告的结果措施 (PROM).

主要成果:

这项分析包括了911名患者.
与不使用组相比,中等使用和长期使用组的MME/天显著增加 (+7.676 MME/天和+12.44 MME/天,分别).
在没有使用和低使用组之间没有观察到MME/day的显著差异. 与其他人相比,无使用和低使用组的估计血液损失更高. 手术后的ROM和并发症率在所有组在1年的随访中都相似.

结论:

超过60分钟的带时间与TKA患者的术后阿片类药物消耗 (MME/天) 的增加有关.
尽管阿片类药物使用增加,带时间更长,但在手术后的一年,功能结果和患者报告的措施是可比的.

关键词:

在阿片类药物中,阿片类药物结果的结果.这就是TKA TKA TKA.整体膝关节关节整形手术轮时间轮时间

更多相关视频

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

Author Spotlight: Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Author Spotlight: Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

相关概念视频

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...