Intra-Operative Local Infiltration Analgesia to Reduce Opioid Use after Hemiarthroplasty .
Intraoperatively local infiltration anesthesia in hemiarthroplasty patients reduces the needs of opioids: a randomized, double-blind, placebo-controlled trial with 96 patients in a fast-track hip fracture setting.
Acta Orthop. 2022 Jan 3;93: 111-116.One hundred and nineteen patients with femoral hip fractures scheduled to undergo a hemiarthroplasty procedure were randomized to receive a multimodal analgesic program with the addition of local infiltration analgesia (n=59) or with a placebo injection (n=60). Outcomes of interest included pain scores on a Numeric Rating Scale (NRS) and opioid consumption, measured after surgery and on post-operative day one. Study results revealed similar NRS pain scores during mobilization and at rest, as well as no significant differences in opioid use between the two groups.
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