Intra articular introperative morphine causes increased postoperative demand and after total knee replacement
Journal Title: Journal of Medical Science and Technology - Year 2015, Vol 4, Issue 2
Abstract
Objective of the study was to assess the postoperative pain relief influence of intraoperative intra-articular morphine after total knee replacement. This prospective, double-blind and randomized study included 103 patients of both sexes, aged 46-75 years, classed I-III physical status by the American society of anesthesiologists and scheduled for total knee replacement for chronic osteoarthritis at Prince Hashim hospital, Zarqha, Jordan, during the period April 2014-March 2015. Patients were assigned randomly into two groups. Group I (n=60), patients received a mixture of 10 mg of morphine (1 ml) and 9 ml of normal saline(0.9%) and group II (n=43),patients received 10 ml of normal saline (0.9%). Postoperative morphine administered in the first 24 hours was registered. Postoperative pain was evaluated using the visual analog pain scale 0-10, at 1 and 24hours after surgery. Student’s t test and Chi-square test were used to test statistical significance where P value less than 0.05 was considered significant. There were no significant differences between the two groups regarding the period of admission in hospital or the pain score at postoperative 1 or 24 hours. Patients in group I, received significantly more morphine in the first postoperative 24 than in group II. Intra-articular intraoperative morphine administration has no significant analgesic postoperative effect.
Authors and Affiliations
Khaled Al-issa, Raid Al-smadi, Ethar Ibrahim , Anan Qabha
Keywords
Related Articles
- EP ID EP163894
- DOI -
- Views 120
- Downloads 0
Compare the Efficacy of Escitalopram and Amitriptyline to reduce the Suicidal Risk in Depression patients
Depression is the one of the leading cause of disability for both males and females, the burden of depression is 50% higher for females than males. To evaluate and compare the efficacy of Escitalopram (SSRI) and Amitript...
Percutaneous tennis elbow release under local anesthesia: A prospective study
Tennis elbow is a common disorder of upper extremity. Majority of the patients can be treated conservatively but some resistant cases eventually need surgery. The aim of this study is to evaluate the results of p...
Study of oral anti-diabetic therapy and effectiveness of such therapy on patients with type II Diabetes Mellitus of more than five years on treatment
Diabetes Mellitus will eventually cause cardiac, vascular, renal, hematological, ocular, and neuronal complications and will result in end organ failure. FBS, PPBS and HbA1c are now the most important parameters fo...
Etiology and treatment outcome of traumatic brain injuries from assault
Conflicts among humans have been for food, sex, and territory. The brain is the most targeted organ. Direct or indirect injury to the brain could spell disaster. Humans apply both blunt and penetrating trauma to the head...
Fourier Transform Infra Red (FT-IR) Spectral Studies of Novel Poly-Herbal Formulation of Anti-Obesity Drug
Pharmacological analysis of medicinal plants remains a challenging issue for analytical chemists as medicinal plants are a complicated system of mixtures. Many highly sophisticated separation techniques, for exa...