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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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rawalpindi Medical University
2024-09-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2607 |
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| Summary: | 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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| ISSN: | 1683-3562 1683-3570 |