Συμμετοχή στο Ετήσιο ESRA Congress: Use Of Oral Herbal Anti-Inflammatory Therapy for the reduction of Postoperative Pain Inpatients after Total Knee Replacement.

Διαβάστε την εργασία της Ιατρού Κας. Δήμου για το ετήσιο Ευρωπαϊκό Συνέδριο Περιοχικής Αναισθησίας και Θεραπείας Πόνου.

Dimou T., Spanomanoli A., Loukatzikou E. – Mediterraneo Hospital, Athens, Greece, 417 NIMITS, Athens, Greece

BACKGROUND

NSAIDS:

• First line treatment in management of acute inflammation
• Many side effects (gastrointestinal, cardiovascular, renal)

HERBAL anti-Inflammatory therapy (combination of BOSWELLIA & BROMELAIN):

• Clinically proven antioxidant & anti-inflammatory benefits
• Effective treatment of postoperative pain
• No side effects
• Promote patient’s comfort and joint mobility

AIM:

Evaluation of contribution of herbal anti-inflammatory therapy in the

treatment of postoperative pain after total knee replacement (TKR)

METHODS:

Population: 40 male patients who underwent TKR, aged 60-80 years

Methods of treatment

• All patients received the same spinal anesthesia (20 mg

ropivacaine) & the same postoperative pain treatment protocy

• 20 patients received herbal preparation (HP) 1 week before surgery,

morning & evening and the next 20 days postoperatively

Data recorded (data assessed at 4, 12 and 48 hours):

1. i) resting pain (VAS)
2. ii) vomiting

iii) itching

1. iv) headache
2. v) constipation
3. vi) urinary retention
4. vi) motion sickness

viii) dry mouth

1. ix) drowsiness

RESULTS:

• VAS SCORE at 4, 12, 48 hours, the frequency of the use of

PCA system & total amount of tramadol were statistically lower

in HM group.

• Other parameters were significantly less affected in the HM

group.

CONCLUSIONS:

• Pre- and postoperative herbal anti-inflammatory therapy

significantly reduces pain after TR, as well as need for

opioids and their side effects

• Herbal anti-Inflammatory drugs have high

bioavailability, maximum effectiveness and great gastric tolerance.