Efficacy of parecoxib as locally infiltrated analgesia with epidural analgesia infusion against epidural analgesia infusion alone in total knee arthroplasty /

This is a prospective single-blinded randomized clinical trial to compare use of a combination of periarticular locally infiltrated analgesia with epidural analgesia infusion to epidural analgesia infusion alone in total knee arthroplasty (tka) patients. Fifty six patients with primary osteoarthriti...

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Bibliographic Details
Main Author: Faisal bin Mohd Noor (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2016
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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245 1 0 |a Efficacy of parecoxib as locally infiltrated analgesia with epidural analgesia infusion against epidural analgesia infusion alone in total knee arthroplasty /  |c by Faisal bin Mohd Noor 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2016 
300 |a x, 51 leaves :  |b illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
347 |2 rdaft  |a text file  |b PDF 
502 |a Thesis (MORTH)--International Islamic University Malaysia, 2016. 
504 |a Includes bibliographical references (leaves 40-44). 
520 |a This is a prospective single-blinded randomized clinical trial to compare use of a combination of periarticular locally infiltrated analgesia with epidural analgesia infusion to epidural analgesia infusion alone in total knee arthroplasty (tka) patients. Fifty six patients with primary osteoarthritis who was scheduled for a unilateral total knee arthroplasty was randomly assigned into either the experimental group or control group. The periarticular injection, containing a mixture of parecoxib, ropivacaine, morphine and adrenaline, was given intra-operatively to the experimental group. The experimental group had a lower pain score at the first 24 hours post-operative (p=0.03), earlier time to achieve 90 degrees passive knee flexion (p=0.001) with a length of hospital stay not more than three days post-operation (p=0.001). Overall, the group receiving periarticular locally infiltrated analgesia had less pain in the acute setting, less epidural analgesia drug usage, earlier range of motion knee exercise, and shorter hospital stay. 
596 |a 1 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/uf06TjUKHSbU49YfbsUeSKzjxbYgrFcf20180625123113542  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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