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Paracetamol and ibuprofen, alone and in combination, for analgesia following total hip arthroplasty

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Ace Report Cover
May 2019

Paracetamol and ibuprofen, alone and in combination, for analgesia following total hip arthroplasty

Vol: 8| Issue: 5| Number:6| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:N/A

Effect of Combination of Paracetamol (Acetaminophen) and Ibuprofen vs Either Alone on Patient-Controlled Morphine Consumption in the First 24 Hours After Total Hip Arthroplasty: The PANSAID Randomized Clinical Trial

JAMA. 2019 Feb 12;321(6):562-571. doi: 10.1001/jama.2018.22039.

Contributing Authors:
S Overgaard HM Schroder O Mathiesen JB Dahl P Lindholm J Wetterslev KH Thybo H Schmidt D Hagi-Pedersen M Nersesjan JC Jakobsen NA Pedersen JG Bjorck K Skovmand R Frederiksen M Buus-Nielsen CV Sorensen LS Kruuse

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Synopsis

559 patients scheduled for total hip arthroplasty were randomized to one of four groups for postoperative analgesia: paracetamol 1000mg plus ibuprofen 400mg, paracetamol 500mg plus ibuprofen 200mg, paracetamol 1000mg alone, or ibuprofen 400mg alone. Each group received their allocated treatment every 6 hours for a total of 4 doses over 24 hours. Primary outcomes included morphine consumption over ...

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