The problem of postoperative analgesia in hip re-placement

10.12737/5007 ◽  
2014 ◽  
Vol 21 (2) ◽  
pp. 86-89
Author(s):  
Киреев ◽  
Semen Kireev ◽  
Матвеенкова ◽  
L. Matveenkova
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Hip Joint ◽  
Epidural Anesthesia ◽  
Joint Pain ◽  
Standard Treatment ◽  
Post Operative Pain ◽  
The Difference ◽  
Endotracheal Anesthesia

Standard treatment for patients with diseases of the hip joint, accompanied by pain and restriction of movements, is joint replacement , which can significantly improve the quality of life of patients in this category were The object of the study, 120 pa-tients with coxarthrosis of both sexes aged 49-80 years who were on the surgical treatment in the Tula Oblast hospital in 2012, 2013. Analyzing the results obtained , we have identified some features of post-operative pain in response to the prosthetic hip joint. Pain impulses by VAS score of 4-7 patients after surgery under general endotracheal anesthesia , appeared after 20-40 minutes, and after epidural anesthesia and mixed for 20-50 minutes later. And the more pronounced these figures were in patients after surgery under general endotracheal anesthesia, and the temperature and oxygen saturation were significantly lower on the operated leg: the difference with the indicators on health reached 1-1.2 C0 and 1.5-2% respectively.

scholarly journals Percutaneous Radiofrequency Hip Joint Denervation

2021 ◽  
Author(s):  
Nieves Saiz-Sapena ◽  
Vicente Vanaclocha-Vanaclocha ◽  
José María Ortiz-Criado ◽  
Leyre Vanaclocha
Keyword(s):  
Quality Of Life ◽  
Pain Relief ◽  
Hip Joint ◽  
Pain Control ◽  
Joint Pain ◽  
Pulsed Radiofrequency ◽  
Total Hip ◽  
Sensory Denervation ◽  
Hip Arthroplasties

With an aging population, chronic osteoarthritic hip joint pain is becoming a major issue. Most patients with hip pain can control their pain with conservative measures but with a gradual reduction in their quality of life. When gradually reduced ambulation and pain become recalcitrant, total hip arthroplasty is the next step. For most patients, this is a good way to improve pain control and to recover some quality of life, but for a few this aggressive surgical procedure is not possible. Sometimes co-morbidities make total hip arthroplasties undesirable. At other times, the age of the patients recommends to wait for a while. In these cases, other options have to be explored. Percutaneous partial hip joint sensory denervation has become a notable option as it can provide acceptable rates of pain relief with minimal surgical aggressiveness. There are three modalities to perform it: thermal, cooled and pulsed radiofrequency.

scholarly journals Surgical techniques used for tonsil disease in children

2015 ◽  
Vol 62 (3) ◽  
pp. 294-297
Author(s):  
A. Zamfir-Chiru-Anton ◽  
◽  
D.C. Gheorghe ◽  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Surgical Techniques ◽  
The Other ◽  
Intraoperative Blood Loss ◽  
Advantages And Disadvantages ◽  
Surgical Methods ◽  
Surgical Options ◽  
The Difference

The authors review the techniques described for the surgical treatment of the tonsils. Each new method has its own advantages and disadvantages. The difference can be evaluated by studying the intraoperative blood loss and safety of the procedure. Also, the postoperative complications and quality of life can be used as an adjunct to objectively appreciate the different surgical techniques. There is no literature consensus about the superiority of one technique over the other. Multiple studies brought multiple significant results. It is also hard to evaluate the entire panel of surgical methods described concomitantly. The experience of one surgeon and his/her mastering of a certain technique is the actual cause of so many surgical options still in use for tonsil treatment in children.

scholarly journals Mental health and quality of life of patients with osteoarthritis pain: The sixth Korea National Health and Nutrition Examination Survey (2013–2015)

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242077
Author(s):  
Yura Lee ◽  
Sook-Hyun Lee ◽  
Sung Min Lim ◽  
Seung Ho Baek ◽  
In-Hyuk Ha
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Knee Joint ◽  
National Health ◽  
Hip Joint ◽  
Joint Pain ◽  
Nutrition Examination Survey ◽  
Health And Nutrition ◽  
Lower Back

Objectives This study aims to investigate the association between mental health and quality of life of osteoarthritis (OA) patients according to the site of pain. Design Retrospective cross-sectional study Participants Data of 22,948 participants of the sixth Korea National Health and Nutrition Examination Survey conducted from 2013–2015 were used. Outcome measures Participants were asked if they had OA pain in the hip joint, knee joint, and lower back (yes/no) and whether they experienced anxiety or depression. The EQ-5D questionnaire was used to determine the quality of life of patients with hip, knee, and lower back OA. Multiple logistic regression analysis was performed after adjusting. Results A total of 5,401 patients reported pain in the hip joint, knee joint, or lower back. The analysis showed significant relations between pain sites, mental health, and quality of life. First, more female patients with OA experienced stress and depression than males. Second, for males with OA, stress was reported in the order of: lower back > hip > knee, while pain and depression was reported in the order of: lower back > knee > hip (p < 0.05). For females with OA, stress was reported in the order of: knee > lower back > hip, while depression was reported in the order of: knee > lower back > hip. Third, considering quality of life, for males, hip joint pain had the greatest impact on quality of life and for females, knee joint pain had the largest impact (p < 0.001). Conclusions For patients with OA, the effect on the mental health and quality of life differed according to sex and sites of pain. Therefore, this study confirms that pain sites, sex, mental health, and quality of life are independent risk factors when determining OA pain.

THE QUALITY OF LIFE OF PATIENTS AFTER TOTAL ENDOPROSTHESIS REPLACEMENT OF HIP JOINT: PUBLICATIONS REVIEW

2019 ◽  
Vol 18 (2) ◽  
pp. 106-109
Author(s):  
N. A Khudoshin ◽  
O. P Abaeva ◽  
S. V Romanov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Motor Activity ◽  
Hip Joint ◽  
Outpatient Rehabilitation ◽  
Surgical Approaches ◽  
Total Arthroplasty ◽  
Total Endoprosthesis

The main and generally accepted method of surgical treatment of arthrosis of hip joint is considered to be total arthroplasty. As a result, patient gets rid of pain, motor activity increases, more mobility and sociability are added. The surgical approaches (types of implants, operative approaches) and rehabilitation approaches (centers of specialized rehabilitation, outpatient rehabilitation clinics) are being improved. However, despite positive dynamics of improving quality of life, there is a group of patients of able-bodied age who have no satisfaction with surgery results.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Quality-of-Life Measurement in Advanced Cancer: Assessing the Individual

1999 ◽  
Vol 17 (11) ◽  
pp. 3603-3611 ◽  
Author(s):  
Dympna Waldron ◽  
Ciaran A. O'Boyle ◽  
Michael Kearney ◽  
Michael Moriarty ◽  
Desmond Carney
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Internal Validity ◽  
Semistructured Interview ◽  
Incurable Cancer ◽  
Life Measurement ◽  
The Difference ◽  
The Individual ◽  
Very High

PURPOSE: Despite the increasing importance of assessing quality of life (QoL) in patients with advanced cancer, relatively little is known about individual patient's perceptions of the issues contributing to their QoL. The Schedule for the Evaluation of Individual Quality of Life (SEIQoL) and the shorter SEIQoL–Direct Weighting (SEIQoL-DW) assess individualized QoL using a semistructured interview technique. Here we report findings from the first administration of the SEIQoL and SEIQoL-DW to patients with advanced incurable cancer. PATIENTS AND METHODS: QoL was assessed on a single occasion using the SEIQoL and SEIQoL-DW in 80 patients with advanced incurable cancer. RESULTS: All patients were able to complete the SEIQoL-DW, and 78% completed the SEIQoL. Of a possible score of 100, the median QoL global score was as follows: SEIQoL, 61 (range, 24 to 94); SEIQoL-DW, 60.5 (range, 6 to 95). Psychometric data for SEIQoL indicated very high levels of internal consistency (median r = .90) and internal validity (median R2 = 0.88). Patients' judgments of their QoL were unique to the individual. Family concerns were almost universally rated as more important than health, the difference being significant when measured using the SEIQoL-DW (P = .002). CONCLUSION: Patients with advanced incurable cancer were very good judges of their QoL, and many patients rated their QoL as good. Judgments were highly individual, with very high levels of consistency and validity. The primacy given to health in many QoL questionnaires may be questioned in this population. The implications of these findings are discussed with regard to clinical assessment and advance directives.

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