<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Due to an ageing population, the necessity for hip replacement has grown, and therefore, new options are being sought, such as the Fast-track principle, to improve patient condition, reduce their hospital stay and enhance the hospital’s ability to treat more patients. The aim of this study was to investigate the effects of same-day patient mobilisation on pain, side effects, complications, duration of hospital stay, and recovery after primary hip replacement, using intermediate-acting local anaesthetics in spinal anaesthesia (SA). A prospective, randomised study was conducted at the Hospital of Traumatology and Orthopaedics. Forty-six patients undergoing total hip replacement were selected and divided into two groups. Spinal anaesthesia was performed in study group (P) with 70 mg plain prilocaine. The control group (B) received 18 mg heavy bupivacaine in SA. On the first postoperative day, pain during movement was 2.00 (P) and 3.33 (B) on the Numeric Pain Rating Scale, the duration of hospital stay in the study group was shorter by ~1 day, and patient self-care was better in the study group. When the Fast-track principle is used with intermediate-acting SA and early rehabilitation, it is possible to reduce post-operative pain during movement, reduce the length of stay and improve patient self-care abilities.</p></abstract>

Due to an ageing population, the necessity for hip replacement has grown, and therefore, new options are being sought, such as the Fast-track principle, to improve patient condition, reduce their hospital stay and enhance the hospital’s ability to treat more patients. The aim of this study was to investigate the effects of same-day patient mobilisation on pain, side effects, complications, duration of hospital stay, and recovery after primary hip replacement, using intermediate-acting local anaesthetics in spinal anaesthesia (SA). A prospective, randomised study was conducted at the Hospital of Traumatology and Orthopaedics. Forty-six patients undergoing total hip replacement were selected and divided into two groups. Spinal anaesthesia was performed in study group (P) with 70 mg plain prilocaine. The control group (B) received 18 mg heavy bupivacaine in SA. On the first postoperative day, pain during movement was 2.00 (P) and 3.33 (B) on the Numeric Pain Rating Scale, the duration of hospital stay in the study group was shorter by ~1 day, and patient self-care was better in the study group. When the Fast-track principle is used with intermediate-acting SA and early rehabilitation, it is possible to reduce post-operative pain during movement, reduce the length of stay and improve patient self-care abilities.

Fast-Track Surgery and Early Rehabilitation for Total Hip Replacement in Hospital of Traumatology and Orthopaedics

Department of Anaesthesiology and Intensive Care, Hospital of Traumatology and Orthopaedics

Center of Spine and Joint Surgery, Hospital of Traumatology and Orthopaedics

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Due to an ageing population, the necessity for hip replacement has grown, and therefore, new options are being sought, such as the Fast-track principle, to...

Fast-Track Surgery and Early Rehabilitation for Total Hip Replacement in Hospital of Traumatology and Orthopaedics

Published Online: Nov 01, 2019

Page range: 419 - 424

Received: Jul 02, 2018

Accepted: Feb 27, 2019

DOI: https://doi.org/10.2478/prolas-2019-0067

Keywords
total hip replacement, prilocaine, spinal anaesthesia, early mobilisation, postoperative pain

© 2019 Miķelis Birznieks et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Fast-Track Surgery and Early Rehabilitation for Total Hip Replacement in Hospital of Traumatology and Orthopaedics

Published Online: Nov 01, 2019

Page range: 419 - 424

Received: Jul 02, 2018

Accepted: Feb 27, 2019

DOI: https://doi.org/10.2478/prolas-2019-0067

Keywordstotal hip replacement, prilocaine, spinal anaesthesia, early mobilisation, postoperative pain

© 2019 Miķelis Birznieks et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
total hip replacement, prilocaine, spinal anaesthesia, early mobilisation, postoperative pain