BOGDAN HOGEA, BOGDAN CORNELIU ANDOR, ALINA TOTOREAN, LAVINIA MARIA HOGEA, LAURA ALEXANDRA NUSSBAUM, ANCA BISTRIAN, MIHAI ALEXANDRU SANDESC, ROXANA FOLESCU, MARIA CORINA STANCIULESCU, ROMEO PETRU DOBRIN, MIHAELA BOANCA, JENEL MARIAN PATRASCU JR. USE OF INTRAOPERATIVE ANALGESIC AND ANESTHETIC SUBSTANCES BY INTRAMUSCULAR INFILTRATIONS DURING HIP SURGERY FOR POSTOPERATIVE PAIN MONITORING The authors present their intraoperative and postoperative experience in using intramuscular infiltrations with analgesic and anesthetic substances as pain control methods in patients that undergo hip surgery: arthroplasty or hemiarthroplasty. A total of 30 patients that have undergone either an elective total hip arthroplasty surgery or hemiarthroplasty of the hip following a hip fracture, since May 2018 until August 2018. The patients were divided in two equal groups, one group that followed through the protocol and one control group. The intramuscular infiltrations were administered intraoperatively at the timeline of the muscle suture and contained: Bupivacaine 10 mL + Morphine 1 mL + Methylprednisolone 40mg. Postoperative protocol used the visual analogue scale (VAS) pain scores on days 1, 2, 3, 4, 5, 6 and 7 for measuring the postoperative pain control. Intraoperative intramuscular infiltrations, with an analgesic and anesthetic cocktail consisting of Bupivacaine, Morphine and Methylprednisolone, for patients that are going through hip surgery are safe to use with very good results in terms of postoperative pain control. We reduced the consumption of opioids and analgesic drugs, which indirectly leads to decreased direct cost per patient. Another important benefit was an early active mobilization of the patient, with shorter hospitalization time. All things considered, using regional anesthesia and multimodal pain management techniques may lead to a nearly painless hip surgery.
Keywords: intramuscular, infiltrations, pain, hip arthroplasty, substances