A multimodális posztoperatív fájdalomcsillapítás szerepe primer csípőízületi arthroplasticában

81 patients who underwent primary unilateral hip prosthesis surgery (arthroplasty) under spinal anesthesia between February 2017 and January 2018.

Multimodal pain relief (n=43): preemptive systemic paracetamol 1000 mg and gabapentin 600 mg 1 hour before surgery, gabapentin 600 mg 12 hours postoperatively, plus local infiltration analgesia (LIA) at the end of surgery (30 ml 0.5% bupivacaine and 1.5 g tranexamic acid diluted to 150 ml with saline), along with as-needed metamizole, diclofenac, paracetamol, tramadol, and nubain.

Conventional analgesic treatment (n=38): metamizole, diclofenac, and paracetamol in the first 24 hours postoperatively, with tramadol and nubain as needed.

Postoperative subjective pain levels measured by Visual Analog Scale (VAS) and opioid analgesic needs.patient reported