Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty
Objective: To compare epidural analgesia vs intraoperative peri-articular injection for pain management following Total Knee Arthroplasty. Method: This randomized controlled trial was conducted on 54 patients undergoing Total Knee Arthroplasty and divided into two groups equally, group A received...
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Rawalpindi Medical University
2024-09-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2607 |
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| author | Rahman Rasool Akhtar Riaz Ahmed Waqas Ali Hira Waris |
| author_facet | Rahman Rasool Akhtar Riaz Ahmed Waqas Ali Hira Waris |
| author_sort | Rahman Rasool Akhtar |
| collection | DOAJ |
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Objective: To compare epidural analgesia vs intraoperative peri-articular injection for pain management following Total Knee Arthroplasty.
Method: This randomized controlled trial was conducted on 54 patients undergoing Total Knee Arthroplasty and divided into two groups equally, group A received epidural analgesia while group B received peri-articular injection. Postoperative pain on VAS score after six hours and 24 hours and side effects on the first postoperative day were assessed between both groups. Independent samples T-test was used for comparison of variables keeping P value significant at 0.05.
Results: The mean age of the patients recorded was 58.85±5.93 years. Male were 46.3% while female patients were 53.7%. Postoperative pain assessed on VAS after 6 and 24 hours was significantly lower in group B (peri-articular injection) as compared to group A (epidural analgesia) (P = 0.009). The frequency of nausea and vomiting was significantly lower in group B (peri-articular injection) than in group A (epidural analgesia) (P = 0.004, P = 0.005).
Conclusion: Based on the findings of our study, we conclude that the utilization of intraoperative peri-articular injection for management of pain following Total Knee Arthroplasty yielded a significantly lower incidence of postoperative pain, as well as reduced occurrences of nausea and vomiting when compared to the use of epidural analgesia.
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| format | Article |
| id | doaj-art-c3cf5df26de5438c941f53f9354a4474 |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-c3cf5df26de5438c941f53f9354a44742025-02-06T08:34:57ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-09-0128310.37939/jrmc.v28i3.2607Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee ArthroplastyRahman Rasool AkhtarRiaz AhmedWaqas Ali0Hira WarisCMH Kharian Maedical College Objective: To compare epidural analgesia vs intraoperative peri-articular injection for pain management following Total Knee Arthroplasty. Method: This randomized controlled trial was conducted on 54 patients undergoing Total Knee Arthroplasty and divided into two groups equally, group A received epidural analgesia while group B received peri-articular injection. Postoperative pain on VAS score after six hours and 24 hours and side effects on the first postoperative day were assessed between both groups. Independent samples T-test was used for comparison of variables keeping P value significant at 0.05. Results: The mean age of the patients recorded was 58.85±5.93 years. Male were 46.3% while female patients were 53.7%. Postoperative pain assessed on VAS after 6 and 24 hours was significantly lower in group B (peri-articular injection) as compared to group A (epidural analgesia) (P = 0.009). The frequency of nausea and vomiting was significantly lower in group B (peri-articular injection) than in group A (epidural analgesia) (P = 0.004, P = 0.005). Conclusion: Based on the findings of our study, we conclude that the utilization of intraoperative peri-articular injection for management of pain following Total Knee Arthroplasty yielded a significantly lower incidence of postoperative pain, as well as reduced occurrences of nausea and vomiting when compared to the use of epidural analgesia. https://www.journalrmc.com/index.php/JRMC/article/view/2607Total Knee Arthroplasty, Analgesia, Peri-Articular injection, Epidural. |
| spellingShingle | Rahman Rasool Akhtar Riaz Ahmed Waqas Ali Hira Waris Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty Journal of Rawalpindi Medical College Total Knee Arthroplasty, Analgesia, Peri-Articular injection, Epidural. |
| title | Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty |
| title_full | Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty |
| title_fullStr | Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty |
| title_full_unstemmed | Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty |
| title_short | Comparison Of Epidural Analgesia Vs Intraoperative Peri-Articular Injection For Pain Management Following Total Knee Arthroplasty |
| title_sort | comparison of epidural analgesia vs intraoperative peri articular injection for pain management following total knee arthroplasty |
| topic | Total Knee Arthroplasty, Analgesia, Peri-Articular injection, Epidural. |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2607 |
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