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Review article

Battelfield Acupuncture and Femoral Nerve Block for Treatment of Postoperative Pain in Major Orthopedic surgery

Zrinka Orešković
Sandra Morović


Full text: croatian pdf 161 Kb

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Full text: english pdf 161 Kb

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Abstract

Introduction: Postoperative pain after major orthopedic surgery is extremely severe and especially after revision surgery where bone destruction is extensive. The role of postoperative analgesia is very im- portant. Opioid analgesics are commonly used for this purpose in continuous infusion in combination with the intravenous administration of paracetamol, metamizole and ketoprofen.
Materials and methodes: The patient was admitted for revision surgery after a total hip endoprosthe- sis was installed. The patient is allergic to most analgesic medicines including fentanyl, alfentanyl, tra- madol, buprenorphine, paracetamol, piroxicam, propifenazone, codeine, caffeine, diclofenac, ibuprofen. Only Ketoprofen and Oxycodonum are allowed analgesics.
In this case, postoperative analgesia was difficult because of the very narrow choice of analgesics. Re- searchers applied a regional femoral nerve block in combination with battlefield ear acupuncture, which has a pronounced analgosedative effect.
Pain was measured with an audio visual scale and allowed analgesics were added as needed
Results: The patient was satisfied with achived analgesia and the side effects of analgesics were avoided. Conclusions: Battelfield ear acupuncture in combination with nerve block is a very effective method in the treatment of postoperative pain in major orthopedic surgery.

Keywords

Major orthopedic surgery, Analgesia, Battelfield ear acupuncture, Nerve block

Hrčak ID:

243968

URI

https://hrcak.srce.hr/243968

Publication date:

15.6.2020.

Article data in other languages: croatian

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