Arthropathy of Hip, Arthropathy of Knee
Conditions
Brief summary
Despite the use of multimodal analgesia combining nerve block (NB) and systemic analgesia, intravenous (IV) morphine titration in the post-anesthetic care unit (PACU) after total hip (THA) and knee (TKA) arthroplasty is required to relieve early moderate-to-severe pain. Sedation occurrence during titration and a VAS score higher than 60/100mm are two independent risk factors for postoperative pain during hospitalization. The association of NB and multimodal analgesia constitutes the reference in evidence-based recommendations. An adductor or femoral triangle block, alone or associated with periarticular infiltration, is recommended during TKA. During THA, NB associated with surgical periarticular infiltration improves analgesia and rehabilitation This study aims to identify the incidence and risk factors of morphine titration in PACU after lower limb arthroplasty performed by 5 experienced surgeons and using a multimodal analgesic procedure
Interventions
DRUGIV morphine administered during the PACU stay
IV morphine administered during the PACU stay
Sponsors
Hôpital Privé Sévigné
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Total hip arthroplasty * Total Knee Arthroplasty * Uni-compartmental knee arthroplasty (UKA)
Exclusion criteria
* Bilateral surgery Surgical revision Hip fracture surgery Other osteoarticular procedure(s) associated to hip/knee arthroplasty Refusal to use data Contra-indication of paracetamol, ketoprofen and dexamethasone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| morphine titration | after surgery, in the post-anesthetic care unit |
Countries
France
Outcome results
None listed