Ibuprofen timing for hand surgery in ambulatory care
Acta ortop. bras
;
23(4): 188-191, Jul-Aug/2015. tab, fig
Artigo
em Inglês
| LILACS
| ID: lil-754989
ABSTRACT
OBJECTIVE:
To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care.METHODS:
Candidates to trigger finger release by De Quervain tenosynovitis and carpal tunnel operation under local anesthesia were enrolled in the study. Group A received 400 mg ibuprofen before the operation and placebo after the procedure; group B received placebo before the operation and ibuprofen 400 mg at the end of the procedure; both groups received ibuprofen 400 mg every 6h thereafter. Visual analogue scale (VAS) was measured at fixed times before and every 6h after surgery, for a total follow-up of 18h.RESULTS:
Groups were similar according to age, gender and type of surgery. Median VAS values did not produce any statistical significance, while there was a statistically significant difference on pre-operative and early post-operative VAS values between groups (A -8.53 mm vs. B 3.36 mm, p=0.0085).CONCLUSION:
Average pain levels were well controlled by local anesthesia and post-operative ibuprofen analgesia. Pre-operative ibuprofen administration can contribute to improve early pain management. Level of Evidence II, Therapeutic Studies.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Dor
/
Período Pós-Operatório
/
Ibuprofeno
/
Doença de De Quervain
/
Dedo em Gatilho
/
Período Pré-Operatório
/
Analgésicos
/
Anestesia Local
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Acta ortop. bras
Assunto da revista:
Ortopedia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Itália
Instituição/País de afiliação:
Università degli Studi di Modena e Reggio Emilia/IT
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