Title

Postoperative pain control in orthopedic surgery: A randomized trial comparing regional anaesthesia and systemic opioids

Authors

J Naveen Bose¹, Kaushik Rajavel², Rakshana Munusamy³ & Priyadarshini Ramesh^4,*

Affiliation

¹Department of Emergency Medicine, Madurai Medical College, Madurai, Tamil Nadu, India; ²Department of Orthopaedics, Madras Medical College, Chennai, Tamil Nadu, India; ³Department of Surgery, Madurai Medical College, Madurai, Tamil Nadu, India; ⁴Department of Obstetrics & Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India; *Corresponding author

Email

Naveen Bose J - E - mail: naveenbose.j@gmail.com; Phone no: +44 7900172754, +91 7010889096

Kaushik Rajavel - E - mail: kaushikr246@gmail.com; Phone no: +91 9677391827

Rakshana Munusamy - E - mail: rakshanamunisamy248@gmail.com; Phone no: +91 7397503059

Priyadarshini Ramesh - E - mail: priyaramesh1198@gmail.com; Phone no: +91 8825735755

Article Type

Research Article

Date

Received December 1, 2024; Revised December 31, 2024; Accepted December 31, 2024, Published December 31, 2024

Abstract

Effective pain management is crucial for recovery after orthopedic surgery, influencing outcomes, hospital stay duration, and patient satisfaction. This randomized trial compared regional anesthesia (RA) with systemic opioid therapy for postoperative pain control in 100 patients undergoing major orthopedic surgery. RA resulted in significantly lower pain scores at 12, 24 and 48 hours post-surgery (p < 0.001) and reduced opioid consumption (p < 0.001). Adverse effects like nausea and vomiting were more common in the opioid group (p = 0.002), while functional recovery was superior in the RA group (p = 0.015). The length of hospital stay was similar between groups (p = 0.116). These findings indicate that RA is more effective than systemic opioids for postoperative pain management, with fewer side effects and improved functional recovery, making it a preferred option in orthopedic surgery.

Keywords

Postoperative pain, orthopedic surgery, regional anaesthesia, systemic opioids, pain control, opioid consumption, functional recovery.

Citation

Bose et al. Bioinformation 20(12): 1931-1934 (2024)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.