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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 19, Issue 8, pp 1399–1402 | Cite as

Post-operative opiate requirements after hip arthroscopy

  • Joseph F. Baker
  • Damien P. Byrne
  • Kim Hunter
  • Kevin J. Mulhall
Hip

Abstract

Purpose

Although hip arthroscopy continues to evolve in its use and its popularity grows, little attention has been paid to the anaesthetic and analgesic management of patients undergoing this procedure. We aimed to report on our initial experience of the anaesthetic and analgesic requirements of a consecutive series of patients undergoing hip arthroscopy.

Methods

We reviewed the surgical and anaesthetic records of the initial, consecutive 85 patients undergoing hip arthroscopy for any reason at our hospital. Basic demographics, intra-operative findings, operative procedures, analgesic requirements in the form of opiate requirement and post-operative pain scores were reviewed.

Results

The mean intra-operative morphine dose was 7.1 mg (S.D. 3.2 mg). Thirty-nine patients (46%) required I.V. morphine at in the recovery room post-arthroscopy (mean 1.8 mg; S.D. 2.6 mg). Regression analysis showed that lower intra-operative opiate dose resulted in higher maximum VAS pain scores (P = 0.03) and rescue intravenous opiate (P < 0.001) requirement post-surgery.

Conclusions

Adequate intra-operative morphine use can minimize post-operative pain and subsequent need for rescue analgesia.

Keywords

Hip arthroscopy Analgesia Anaesthetic Opiates 

Notes

Acknowledgments

We wish to thank the Orthopaedic Research and Innovation Foundation (http://www.orif.ie) for their support.

References

  1. 1.
    Birnbaum K, Prescher A, Hessler S, Heller KD (1997) The sensory innervation of the hip joint—an anatomical study. Surg Radiol Anat 19:371–375PubMedCrossRefGoogle Scholar
  2. 2.
    Byrd JW, Jones KS (2009) Hip arthroscopy in athletes: 10-year follow-up. Am J Sports Med 37:2140–2143PubMedCrossRefGoogle Scholar
  3. 3.
    Cepeda MS, Carr DB (2003) Women experience more pain and require more morphine than men to achieve a similar degree of analgesia. Anesth Analg 97:1464–1468PubMedCrossRefGoogle Scholar
  4. 4.
    Foster D, Bode R (2003) Anesthesia considerations. In: McCarthy JC (ed) Early hip disorders. Springer, New York, pp 69–72CrossRefGoogle Scholar
  5. 5.
    Kamath AF, Componovo R, Baldwin K et al (2009) Hip arthroscopy for labral tears: review of clinical outcomes with 4.8-year mean follow-up. Am J Sports Med 37:1721–1727PubMedCrossRefGoogle Scholar
  6. 6.
    Lee EM, Murphy KP, Ben-David B (2008) Postoperative analgesia for hip arthroscopy: combined L1 and L2 paravertebral blocks. J Clin Anesth 20:462–465PubMedCrossRefGoogle Scholar
  7. 7.
    Ruhmann O (2008) Arthroscopy of the hip joint: indication, technique, results. Dtsch Arztebl Int 105:559–566PubMedGoogle Scholar
  8. 8.
    Smart LR, Oetgen M, Noonan B, Medvecky M (2007) Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications. Arthroscopy 23:1348–1353PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Joseph F. Baker
    • 1
  • Damien P. Byrne
    • 2
  • Kim Hunter
    • 3
  • Kevin J. Mulhall
    • 1
  1. 1.Department of Orthopaedic SurgerySports Surgery ClinicDublinIreland
  2. 2.Orthopaedic Research and Innovation FoundationSports Surgery ClinicDublinIreland
  3. 3.Department of AnaesthesiologySports Surgery ClinicDublinIreland

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