Average narcotic usage in a group of TKA patients following a modern TKA protocol.
Knee
; 29: 426-431, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-33725664
ABSTRACT
INTRODUCTION:
The optimal dosing of post-operative total knee arthroplasty (TKA) narcotics is unclear. We report on the average narcotic usage in a group of patients treated with an identical multimodal pain protocol following TKA. MATERIALS ANDMETHODS:
49 patients undergoing TKA participated in the survey. Patients with pre-op narcotic use, recent prior total joint arthroplasty or study refusal were excluded. All patients received a spinal anesthetic. No pre-surgery narcotics were given. All received an identical local infiltrative anesthetic combination along with a multimodal pain protocol. Patients were placed into an identical rapid rehab program. Narcotic usage during hospitalization was recorded in morphine equivalent doses (MED). Patients were given a journal to record their daily narcotic utilization.RESULTS:
Pre-operative pain scores of the excluded groups had slightly higher but clinically insignificant differences compared to the study group. In the hospital, POD1 study group daily MED averaged 28 (range 0-110). POD2 had an average of 33.6 and POD 3 daily usages averaged 28.6 (range 0-100). By the end of week two, the average daily use was 19.2 and 24% patients were off all narcotics. By the end of week four, the average daily usage was 7.5 and 63% of patients were off all narcotics. By 8â¯weeks, there were no patients still taking narcotics. KSS averaged 76.9 (range 51-97) at the 6â¯week visit, and 94.2 at the 3-month visit (range 72-100).SUMMARY:
This study documents the average needs of an average TKA patient treated with modern pain protocols. The majority of these patients were off narcotics by week four.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Artroplastia do Joelho
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Entorpecentes
Tipo de estudo:
Etiology_studies
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Guideline
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Observational_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article