An evaluation of a revised analgesia protocol for elective joint arthroplasty.

Q3 Medicine

Irish medical journal Pub Date : 2026-06-18

L Di Lucia, R O'Neill, J Fahey, M Duggan

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引用次数: 0

Abstract

Aims: Mayo University Hospital performs approximately 350 joint arthroplasty surgeries per annum. We revised our analgesia protocol in 2024 based on best current practice.

Methods: We conducted this evaluation from January to July 2025. All patients presenting for joint arthroplasty surgeries were invited to be included.

Results: Our evaluation included 147 patients; 94 patients had a total hip arthroplasty and 53 had a total knee arthroplasty. The average age was 69 years, and 142 (96.5%) of patients were living at home independently before surgery. 53 (36%) were on prescribed analgesics pre-operatively. The average pain score on day 1 (day after surgery) was 4.8 for the hip arthroplasty patients and 5.5 for the knee arthroplasty patients. The total oral morphine equivalent requirements for the first 2 days were 48 mgs for the hip surgery patients and 65 mgs for the knee surgery patients. The median length of stay for all patients was 4 days. On follow up at 6 weeks, 135 (91%) of patients were mobilising independently. Overall satisfaction of the patient's experience (0-10) was 8.7 for the knee arthroplasty patients and 8.8 for the hip arthroplasty patients.

Discussion: Overall, we were satisfied with our analgesic protocol, but we want to improve the day 1 and 2 pain scores particularly in the knee arthroplasty patients. We are discussing the introduction of adductor canal blocks pre-operatively.

本刊更多论文

择期关节置换术镇痛方案的修订评价。

目的：梅奥大学医院每年实施约350例关节成形术。我们在2024年根据当前最佳实践修订了我们的镇痛方案。方法：于2025年1 - 7月进行评价。所有接受关节置换手术的患者均被纳入研究范围。结果：我们的评估包括147例患者；94例患者行全髋关节置换术，53例行全膝关节置换术。平均年龄69岁，术前独立生活142例（96.5%）。53例（36%）术前使用处方镇痛药。髋关节置换术患者第1天（术后第1天）的平均疼痛评分为4.8分，膝关节置换术患者为5.5分。髋部手术患者前2天口服吗啡当量总需求量为48 mg，膝关节手术患者为65 mg。所有患者的中位住院时间为4天。在6周的随访中，135例（91%）患者能够独立活动。膝关节置换术患者的总体满意度为8.7分，髋关节置换术患者的总体满意度为8.8分。讨论：总的来说，我们对我们的镇痛方案感到满意，但我们希望改善第1天和第2天的疼痛评分，特别是膝关节置换术患者。我们正在讨论术前引入内收管阻滞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Irish medical journal Medicine-Medicine (all)

CiteScore

1.00

自引率

0.00%

发文量

139

期刊介绍： Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.