Preoperative gabapentin in patients undergoing primary total knee arthroplasty
June 5th, 2009 Posted by: admin
Publication year: 2009
Source: Acute Pain, In Press, Corrected Proof, Available online 21 April 2009
Cassie C., Dietrich , Michelle A., Kinney , Juan N., Pulido , Sheila L., Hoehn , Laurence C., Torsher , …
Background: Patients undergoing total knee arthroplasty usually receive a multimodal analgesic regimen including peripheral nerve blockade, but may still experience significant pain. This study examined whether preoperative gabapentin decreases acute postoperative pain and opioid consumption in this setting. Methods: Retrospective chart review of single institution, hospital-based orthopaedic practice. Consecutive patients undergoing unilateral elective primary knee arthroplasty were evaluated for perioperative gabapentin use. Sixty-one consecutive patients received gabapentin; for each, an age- and gender-matched control was identified. Results: Patients in both groups demonstrated similar demographics, all received lumbar plexus blockade. Catheters were removed on postoperative day 2 (95%). There were no differences in postoperative pain scores…
