Cargando…

Ibuprofen timing for hand surgery in ambulatory care

OBJECTIVE: To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care. METHODS: Candidates to trigger finger release by De Quervain tenosyn...

Descripción completa

Detalles Bibliográficos
Autores principales: Giuliani, Enrico, Bianchi, Anna, Marcuzzi, Augusto, Landi, Antonio, Barbieri, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544526/
https://www.ncbi.nlm.nih.gov/pubmed/26327799
http://dx.doi.org/10.1590/1413-78522015230400736
_version_ 1782386681735806976
author Giuliani, Enrico
Bianchi, Anna
Marcuzzi, Augusto
Landi, Antonio
Barbieri, Alberto
author_facet Giuliani, Enrico
Bianchi, Anna
Marcuzzi, Augusto
Landi, Antonio
Barbieri, Alberto
author_sort Giuliani, Enrico
collection PubMed
description OBJECTIVE: To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care. METHODS: Candidates to trigger finger release by De Quervain tenosynovitis and carpal tunnel operation under local anesthesia were enrolled in the study. Group A received 400 mg ibuprofen before the operation and placebo after the procedure; group B received placebo before the operation and ibuprofen 400 mg at the end of the procedure; both groups received ibuprofen 400 mg every 6h thereafter. Visual analogue scale (VAS) was measured at fixed times before and every 6h after surgery, for a total follow-up of 18h. RESULTS: Groups were similar according to age, gender and type of surgery. Median VAS values did not produce any statistical significance, while there was a statistically significant difference on pre-operative and early post-operative VAS values between groups (A -8.53 mm vs. B 3.36 mm, p=0.0085). CONCLUSION: Average pain levels were well controlled by local anesthesia and post-operative ibuprofen analgesia. Pre-operative ibuprofen administration can contribute to improve early pain management. Level of Evidence II, Therapeutic Studies.
format Online
Article
Text
id pubmed-4544526
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Sociedade Brasileira de Ortopedia e Traumatologia
record_format MEDLINE/PubMed
spelling pubmed-45445262015-08-31 Ibuprofen timing for hand surgery in ambulatory care Giuliani, Enrico Bianchi, Anna Marcuzzi, Augusto Landi, Antonio Barbieri, Alberto Acta Ortop Bras Original Articles OBJECTIVE: To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care. METHODS: Candidates to trigger finger release by De Quervain tenosynovitis and carpal tunnel operation under local anesthesia were enrolled in the study. Group A received 400 mg ibuprofen before the operation and placebo after the procedure; group B received placebo before the operation and ibuprofen 400 mg at the end of the procedure; both groups received ibuprofen 400 mg every 6h thereafter. Visual analogue scale (VAS) was measured at fixed times before and every 6h after surgery, for a total follow-up of 18h. RESULTS: Groups were similar according to age, gender and type of surgery. Median VAS values did not produce any statistical significance, while there was a statistically significant difference on pre-operative and early post-operative VAS values between groups (A -8.53 mm vs. B 3.36 mm, p=0.0085). CONCLUSION: Average pain levels were well controlled by local anesthesia and post-operative ibuprofen analgesia. Pre-operative ibuprofen administration can contribute to improve early pain management. Level of Evidence II, Therapeutic Studies. Sociedade Brasileira de Ortopedia e Traumatologia 2015 /pmc/articles/PMC4544526/ /pubmed/26327799 http://dx.doi.org/10.1590/1413-78522015230400736 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Giuliani, Enrico
Bianchi, Anna
Marcuzzi, Augusto
Landi, Antonio
Barbieri, Alberto
Ibuprofen timing for hand surgery in ambulatory care
title Ibuprofen timing for hand surgery in ambulatory care
title_full Ibuprofen timing for hand surgery in ambulatory care
title_fullStr Ibuprofen timing for hand surgery in ambulatory care
title_full_unstemmed Ibuprofen timing for hand surgery in ambulatory care
title_short Ibuprofen timing for hand surgery in ambulatory care
title_sort ibuprofen timing for hand surgery in ambulatory care
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544526/
https://www.ncbi.nlm.nih.gov/pubmed/26327799
http://dx.doi.org/10.1590/1413-78522015230400736
work_keys_str_mv AT giulianienrico ibuprofentimingforhandsurgeryinambulatorycare
AT bianchianna ibuprofentimingforhandsurgeryinambulatorycare
AT marcuzziaugusto ibuprofentimingforhandsurgeryinambulatorycare
AT landiantonio ibuprofentimingforhandsurgeryinambulatorycare
AT barbierialberto ibuprofentimingforhandsurgeryinambulatorycare