Postoperative analgesia in trauma patients with hip replacement
Keywords:Dexketoprofenum, analgesia, hip replacement
The studies were conducted in two groups of patients (n = 82), operated under standard spinal anesthesia (SA). The design called for the creation of two randomized groups of patients. The studied group consisted of 42 patients with hip replacement, which were subject to surgical intervention, which complex therapy included Dexketoprofenum intake: 1st injection of 50 mg dose intramuscularly (i/m) 40 minutes before surgery, 2nd injection at the same dose (50 mg i/m) after 8 hours from the 1st injection, and 3rdinjection in the same dose (50 mg i/m) after 8 hours from the 2nd injection. Daily dose of the drug was less than 150 mg/day according to the drug instruction. A comparison group (“Control” group) consistedof 40 patients with similar nosologies and musculoskeletal system operational interventions. They received standard treatment without planned Dexketoprofenum administration. It was found that the use of Dexketoprofenum routinely as a part of multimodal analgesia in the postoperative period in trauma patients can achieve better pain relief compared with “if necessary” analgesia with opiates or other NSAIDs.
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