A prospective evaluation of 2 different pain management protocols for total hip arthroplasty.

Abstract	Pain management after total hip arthroplasty has improved dramatically in the past decade. However, most protocols use opioid medications for pain control. In the current study, 100 patients were prospectively selected to receive a traditional narcotic-based patient-controlled analgesia protocol or a nonnarcotic oral protocol for pain management after primary total hip arthroplasty. Therapy programs were similar for both groups. Postoperatively, patients were followed daily for opioid use, medication adverse effects, pain control, and overall satisfaction. The nonnarcotic oral group showed lower mean pain scores during the first 24 hours after surgery. The satisfaction rate was high in both groups. Both protocols provided adequate pain control after total hip arthroplasty; the nonnarcotic pain management protocol resulted in significantly decreased opioid consumption and fewer adverse effects.
Authors	Zachary D Post, Camilo Restrepo, Lauren K Kahl, Tim van de Leur, James J Purtill, William J Hozack
Journal	The Journal of arthroplasty (J Arthroplasty) Vol. 25 Issue 3 Pg. 410-5 (Apr 2010) ISSN: 1532-8406 [Electronic] United States
PMID	20149582 (Publication Type: Evaluation Study, Journal Article)
Copyright	(c) 2010 Elsevier Inc. All rights reserved.
Chemical References	Analgesics, Non-Narcotic Narcotics Pyrazoles Sulfonamides Acetaminophen Pregabalin gamma-Aminobutyric Acid Oxycodone Celecoxib Dextropropoxyphene Fentanyl
Topics	Acetaminophen (adverse effects, therapeutic use) Adult Aged Aged, 80 and over Analgesics, Non-Narcotic (adverse effects, therapeutic use) Arthroplasty, Replacement, Hip (adverse effects) Celecoxib Dextropropoxyphene (adverse effects, therapeutic use) Female Fentanyl (adverse effects, therapeutic use) Hip Prosthesis Humans Male Middle Aged Narcotics (adverse effects, therapeutic use) Oxycodone (adverse effects, therapeutic use) Pain, Postoperative (drug therapy, etiology) Patient Satisfaction Pregabalin Prospective Studies Pyrazoles (adverse effects, therapeutic use) Sulfonamides (adverse effects, therapeutic use) Surveys and Questionnaires Treatment Outcome gamma-Aminobutyric Acid (adverse effects, analogs & derivatives, therapeutic use)

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