Caudal epidural anesthesia administered intraoperatively provides for effective postoperative analgesia after total hip arthroplasty
Abstract Study Objective To investigate the use of caudal epidural anesthesia for postoperative pain after total hip arthroplasty. Design Prospective study. Setting University-affiliated hospital. Patients 32 (4 men and 28 women) patients, aged 49 to 89 years, scheduled for total hip arthroplasty fo...
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| Veröffentlicht in: | Journal of clinical anesthesia 2007-05, Vol.19 (3), p.204-208 |
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| container_title | Journal of clinical anesthesia |
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| creator | Kita, Takashi, MD, PhD Maki, Naritoshi, MD Su Song, Yong, MD Arai, Fumio, MD Nakai, Tsuyoshi, MD, PhD |
| description | Abstract Study Objective To investigate the use of caudal epidural anesthesia for postoperative pain after total hip arthroplasty. Design Prospective study. Setting University-affiliated hospital. Patients 32 (4 men and 28 women) patients, aged 49 to 89 years, scheduled for total hip arthroplasty for osteoarthritis of the hip. Interventions and Measurements Patients were allocated to three groups: lumbar epidural anesthesia (EA group; n = 16) or caudal epidural anesthesia (CA group; n = 16) groups, which were case-matched according to patient demographics. Nine patients received general anesthesia only (GA group). We evaluated the level of postoperative pain using a 100-mm Visual Analog Scale (VAS) recorded at 3, 6, 9, 12, and 24 hours after surgery. Main Results Total requirement of diclofenac sodium suppositories was significantly larger in the GA group than in the EA or CA groups (444 ± 302 vs 188 ± 124 and 145 ± 130 mg). The number of days requiring analgesics was significantly prolonged in the GA group compared with the EA or CA groups (14 ± 9 vs 4 ± 3 and 4 ± 4 days). These items were similar between the EA group and the CA group. All VAS values for pain, rest, and movement in the postsurgical period over 24 hours were significantly higher in the GA group than in either the EA or CA groups. Conclusions Caudal epidural anesthesia provides effective postoperative analgesia similar to lumbar epidural anesthesia. |
| doi_str_mv | 10.1016/j.jclinane.2006.10.011 |
| format | Article |
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Design Prospective study. Setting University-affiliated hospital. Patients 32 (4 men and 28 women) patients, aged 49 to 89 years, scheduled for total hip arthroplasty for osteoarthritis of the hip. Interventions and Measurements Patients were allocated to three groups: lumbar epidural anesthesia (EA group; n = 16) or caudal epidural anesthesia (CA group; n = 16) groups, which were case-matched according to patient demographics. Nine patients received general anesthesia only (GA group). We evaluated the level of postoperative pain using a 100-mm Visual Analog Scale (VAS) recorded at 3, 6, 9, 12, and 24 hours after surgery. Main Results Total requirement of diclofenac sodium suppositories was significantly larger in the GA group than in the EA or CA groups (444 ± 302 vs 188 ± 124 and 145 ± 130 mg). The number of days requiring analgesics was significantly prolonged in the GA group compared with the EA or CA groups (14 ± 9 vs 4 ± 3 and 4 ± 4 days). These items were similar between the EA group and the CA group. All VAS values for pain, rest, and movement in the postsurgical period over 24 hours were significantly higher in the GA group than in either the EA or CA groups. Conclusions Caudal epidural anesthesia provides effective postoperative analgesia similar to lumbar epidural anesthesia.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2006.10.011</identifier><identifier>PMID: 17531729</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult patients ; Aged ; Aged, 80 and over ; Analgesics ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia, Caudal - methods ; Anesthesia, caudal epidural ; Anesthesia, Epidural - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arthroplasty, Replacement, Hip ; Back surgery ; Biological and medical sciences ; Female ; Humans ; Joint surgery ; Male ; Medical sciences ; Middle Aged ; Pain management ; Pain Measurement - statistics & numerical data ; Pain Medicine ; Pain, Postoperative - prevention & control ; Prospective Studies ; Statistics, Nonparametric ; Total hip arthroplasty</subject><ispartof>Journal of clinical anesthesia, 2007-05, Vol.19 (3), p.204-208</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-5401eccb5ff67251b5228baaec20b12f01bb20cd42bf82118cd86c8c766f69973</citedby><cites>FETCH-LOGICAL-c479t-5401eccb5ff67251b5228baaec20b12f01bb20cd42bf82118cd86c8c766f69973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S095281800700027X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18830319$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17531729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kita, Takashi, MD, PhD</creatorcontrib><creatorcontrib>Maki, Naritoshi, MD</creatorcontrib><creatorcontrib>Su Song, Yong, MD</creatorcontrib><creatorcontrib>Arai, Fumio, MD</creatorcontrib><creatorcontrib>Nakai, Tsuyoshi, MD, PhD</creatorcontrib><title>Caudal epidural anesthesia administered intraoperatively provides for effective postoperative analgesia after total hip arthroplasty</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Study Objective To investigate the use of caudal epidural anesthesia for postoperative pain after total hip arthroplasty. Design Prospective study. Setting University-affiliated hospital. Patients 32 (4 men and 28 women) patients, aged 49 to 89 years, scheduled for total hip arthroplasty for osteoarthritis of the hip. Interventions and Measurements Patients were allocated to three groups: lumbar epidural anesthesia (EA group; n = 16) or caudal epidural anesthesia (CA group; n = 16) groups, which were case-matched according to patient demographics. Nine patients received general anesthesia only (GA group). We evaluated the level of postoperative pain using a 100-mm Visual Analog Scale (VAS) recorded at 3, 6, 9, 12, and 24 hours after surgery. Main Results Total requirement of diclofenac sodium suppositories was significantly larger in the GA group than in the EA or CA groups (444 ± 302 vs 188 ± 124 and 145 ± 130 mg). The number of days requiring analgesics was significantly prolonged in the GA group compared with the EA or CA groups (14 ± 9 vs 4 ± 3 and 4 ± 4 days). These items were similar between the EA group and the CA group. All VAS values for pain, rest, and movement in the postsurgical period over 24 hours were significantly higher in the GA group than in either the EA or CA groups. Conclusions Caudal epidural anesthesia provides effective postoperative analgesia similar to lumbar epidural anesthesia.</description><subject>Adult patients</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analgesics</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia, Caudal - methods</subject><subject>Anesthesia, caudal epidural</subject><subject>Anesthesia, Epidural - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Back surgery</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain management</subject><subject>Pain Measurement - statistics & numerical data</subject><subject>Pain Medicine</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Total hip arthroplasty</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk2LFDEQhoMo7rj6F5YG0VuPSfoj6Yu4DH7BggcVvIV0UnEy9nTaJD0wd3-41c7owF48JaSeeqsqbxFyw-iaUda-2q13ZvCjHmHNKW3xcU0Ze0BWTIqqrBvePSQr2jW8lEzSK_IkpR2lFAPsMblioqmY4N2K_Nro2eqhgMnbOeIFFVPeQvK60HbvR58yRLCFH3PUYYKosz_AcCymGA7eQipciAU4B2YJFFNI-R-Ganr4fhJzqFPkkLHG1k-FjnkbwzTolI9PySOnhwTPzuc1-fru7ZfNh_Lu0_uPm9u70tSiy2VTUwbG9I1zreAN6xvOZa81GE57xh1lfc-psTXvneSMSWNla6QRbevarhPVNXl50sXef844p9r7ZGAYcOgwJyVo00jBOgSf3wN3YY44S1KMVnUnZMMpUu2JMjGkFMGpKfq9jkeE1OKS2qm_LqnFpeUdXcLEm7P83O_BXtLOtiDw4gzoZPTgoh6NTxdOyopWf_p8c-IAf-3gIapkPIwGrI_oh7LB_7-X1_ckFspj1R9whHSZWyWuqPq87NSyUlTgOnHxrfoN0gfMFQ</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Kita, Takashi, MD, PhD</creator><creator>Maki, Naritoshi, MD</creator><creator>Su Song, Yong, MD</creator><creator>Arai, Fumio, MD</creator><creator>Nakai, Tsuyoshi, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Caudal epidural anesthesia administered intraoperatively provides for effective postoperative analgesia after total hip arthroplasty</title><author>Kita, Takashi, MD, PhD ; Maki, Naritoshi, MD ; Su Song, Yong, MD ; Arai, Fumio, MD ; Nakai, Tsuyoshi, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-5401eccb5ff67251b5228baaec20b12f01bb20cd42bf82118cd86c8c766f69973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult patients</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analgesics</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia, Caudal - methods</topic><topic>Anesthesia, caudal epidural</topic><topic>Anesthesia, Epidural - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Back surgery</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain management</topic><topic>Pain Measurement - statistics & numerical data</topic><topic>Pain Medicine</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kita, Takashi, MD, PhD</creatorcontrib><creatorcontrib>Maki, Naritoshi, MD</creatorcontrib><creatorcontrib>Su Song, Yong, MD</creatorcontrib><creatorcontrib>Arai, Fumio, MD</creatorcontrib><creatorcontrib>Nakai, Tsuyoshi, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kita, Takashi, MD, PhD</au><au>Maki, Naritoshi, MD</au><au>Su Song, Yong, MD</au><au>Arai, Fumio, MD</au><au>Nakai, Tsuyoshi, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caudal epidural anesthesia administered intraoperatively provides for effective postoperative analgesia after total hip arthroplasty</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>19</volume><issue>3</issue><spage>204</spage><epage>208</epage><pages>204-208</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Study Objective To investigate the use of caudal epidural anesthesia for postoperative pain after total hip arthroplasty. Design Prospective study. Setting University-affiliated hospital. Patients 32 (4 men and 28 women) patients, aged 49 to 89 years, scheduled for total hip arthroplasty for osteoarthritis of the hip. Interventions and Measurements Patients were allocated to three groups: lumbar epidural anesthesia (EA group; n = 16) or caudal epidural anesthesia (CA group; n = 16) groups, which were case-matched according to patient demographics. Nine patients received general anesthesia only (GA group). We evaluated the level of postoperative pain using a 100-mm Visual Analog Scale (VAS) recorded at 3, 6, 9, 12, and 24 hours after surgery. Main Results Total requirement of diclofenac sodium suppositories was significantly larger in the GA group than in the EA or CA groups (444 ± 302 vs 188 ± 124 and 145 ± 130 mg). The number of days requiring analgesics was significantly prolonged in the GA group compared with the EA or CA groups (14 ± 9 vs 4 ± 3 and 4 ± 4 days). These items were similar between the EA group and the CA group. All VAS values for pain, rest, and movement in the postsurgical period over 24 hours were significantly higher in the GA group than in either the EA or CA groups. Conclusions Caudal epidural anesthesia provides effective postoperative analgesia similar to lumbar epidural anesthesia.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17531729</pmid><doi>10.1016/j.jclinane.2006.10.011</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult patients Aged Aged, 80 and over Analgesics Anesthesia Anesthesia & Perioperative Care Anesthesia, Caudal - methods Anesthesia, caudal epidural Anesthesia, Epidural - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Arthroplasty, Replacement, Hip Back surgery Biological and medical sciences Female Humans Joint surgery Male Medical sciences Middle Aged Pain management Pain Measurement - statistics & numerical data Pain Medicine Pain, Postoperative - prevention & control Prospective Studies Statistics, Nonparametric Total hip arthroplasty |
| title | Caudal epidural anesthesia administered intraoperatively provides for effective postoperative analgesia after total hip arthroplasty |
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