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ISSN 1817-5996 (Electronic)

2014, Number S1

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Rev Cub de Reu 2014; 16 (S1)

Scientific bases of intra-articular administration of opioid analgesics and its post-surgical efficacy

Gavilánez CMC, Andrade CMJ

Language: Spanish
References: 30
Page: 379-384
PDF size: 392.28 Kb.


ABSTRACT

Introduction: The management of post-surgical pain is at the present time a challenge for anesthetists, surgeons and investigators of several specialties. The alternative routes of administration of opioids are an innovative field in post-surgical pain management.
Objective: To reflect on the scientific bases of intra-articular administration of opioid analgesics and its post-surgical efficacy.
Development: Although still it’s been far from identifying an ideal analgesic method, the rational handling of alternative routes of administration has evidenced superiority when it is compared with the traditional analgesic treatment. The intra-articular route has been incorporated recently in the control of the postoperative pain, especially in shoulder and the knee surgery.
Findings: The efficacy of the administration of opioids intra-articular for postoperative pain control has been demonstrated internationally, since its intra-articular application is scientifically proven to be produce significant analgesic effects in humans.


REFERENCES

  1. Fabregat-Cid G, Asensio-Samper JM, Villanueva-Pérez V, López-Alarcón MD, de Andrés-Ibáñez J. Manejo perioperatorio del dolor en el paciente en tratamiento crónico con opiáceos. Revista Española de Anestesiología y Reanimación. 2011; 58(1):25-33.

  2. Savage S, Covington E, Gilson AM, Gourlay D, Heit HA, HuntJB. Publicpolicystatementontherights and responsibilities of healthcareprofessionals in the use of opioidsforthetreatment of pain. A consensusdocumentfromthe American Academy of Pain Medicine, the American PainSociety, and the American Society of Addiction Medicine. [documento en Internet]. 2004 [citado 12 junio 2013];301-2. Disponible en: http://www.ampainsoc.org/advocacy/pdf/rights.pdf

  3. Poggi Machuca L, Ibarra Chirino O. Manejo del dolor agudo post quirúrgico. Acta Med peruana. [revista en Internet]. 2007 [citado: 23 junio 2014];24(2):39-45. Disponible en http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172007000200008&lng=es&nrm=iso

  4. Torres LM,Collado F, Martínez-Vázquez de Castro J, Calderón E, Sánchez-Pardo J, Molano JL, del ÁlamoC.Efectos de la intercambiabilidad de fentanilotransdérmico. RevSocEsp Dolor. 2009;16(1):21-28.

  5. Álamo C. Irrupción de los genéricos en el campo de los opioides potentes de liberación retardada. RevSocEsp Dolor [revista en Internet]. 2007[citado: 28 junio 2014];14(6):397-403. Disponible en: http://scielo.isciii.es/pdf/dolor/v14n6/editorial.pdf

  6. HayhurstCJ.NemergutEC. Essence of AnesthesiaPractice. Anesthesia& Analgesia. 2012;114(1):244-5.

  7. Riley J, Eisenberg E, Muller G. Oxicodona: revisión de su uso en el manejo del dolor. Current Medical Research and opinions. 2008;24(1):175-92.

  8. VissersKCP, Besse K, Hans G, Devulder J, Morlion B.Opioidrotation in the Management of chronicpain: Whereistheevidence? PainPracti[revista en Internet]. 2010 [citado 23 junio 2014];10(2):85-93. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20070552

  9. Koch S, Ahlburg P, Spangsberg N, Brock B, Tønnesen E, Nikolajsen L Oxycodone vs fentanilo in thetreatment of earlypostoperativepain alter laparoscopiccholecystectomy: a randomiseddoublé blindstudy. Acta AnaesthesiolScand [revista en Internet]. 2008 [citado 28 junio 2014];52(6):845-50. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18477082

  10. Landau R. Onesizedoesnotfitall: geneticvariability of mu-opioid receptor and postoperativemorphineconsumption. Anesthesiology. 2006;105(2):235-7.

  11. Armstrong SC, Cozza KL. Pharmacokineticdruginteractions of morphine, codeine, and theirderivatives: theory and clinicalreality, Part II. Psychosomatics. 2003;44(6):515-20.

  12. Armstrong SC, Cozza KL. Pharmacokineticdruginteractions of morphine, codeine, and theirderivatives: theory and clinicalreality, Part I. Psychosomatics.2003;44(2):167-71.

  13. Morera LT. Tapentadolretard en el dolor crónico intenso. RevSocEsp Dolor. 2011;18(5):283-90.

  14. Saruwatari Zavala G, Siqueiros-García JM. El alivio del dolor: ¿ es un derecho humano? Revista de la Sociedad Española del Dolor. 2012;19(3):147-56.

  15. López BQ. Envejecimiento humano y farmacología de los opioides. Un tema para reflexionar. Medisur. 2012;10(6):511-8.

  16. Hogberg E,Stalman A, Wredmark T, TsaiJA, Arner P, Fellander-Tsai L.Opioidrequirementafterarthroscopyisassociatedwithdecreasingglucoselevels and increasing PGE2 levels in thesynovialmembrane. Acta Orthop [revista en Internet]. 2006[citado 28 junio 2014];77(4):657-61.Disponible en: http://informahealthcare.com/doi/full/10.1080/17453670610012755

  17. Lasagna L. Addictingdrugs and medical practice: towardstheelaboration of realisticgoals and theeradication of myths, mirages and half-truths. In: WilnerDM, KassebaumGG (eds) Narcotics. New York: Ed. McGraw; 1965:53-6.

  18. PaulozziLJ, KilbourneEM, ShahNG, Nolte KB, Desai HA, Landen MG, LoringLD. A history of beingprescribedcontrolledsubstances and risk of drugoverdosedeath. Pain Medicine. 2012;13(1):87-95.

  19. Vadivelu N, Mitra S, Narayan D. Recentadvances in postoperativepainmanagement. The Yale journal of biology and medicine. 2010;83(1):11.

  20. Vadivelu N, Mitra S, HinesRL. Peripheralopioid receptor agonistsfor analgesia: a comprehensivereview. Journal of opioidmanagement, 2010;7(1):55-68.

  21. JaffeJH, Martin WR. Opioidanalgesics and antagonists. In: Gilman AG, GoodmanLS, Rall TW, Murad F, eds. Goodman and Gilman'sthepharmacologicalbasis of therapeutics. 7th edition. New York: Ed. Macmillan; 1985:491-531.

  22. Torán García L, Uría Azpiazu A, González SantosS, Mugabure Bujedo B. Actualizaciones en el manejo clínico de los opioides espinales en el dolor agudo postoperatorio. Revista de la Sociedad Española del Dolor. 2012;19(2):72-94.

  23. Romero R, Heyner M. Analgesia epidural continua para el manejo del dolor postoperatorio inmediato en cirugía ortopédica, en el Instituto Salvadoreño del Seguro Social, San Miguel, periodo de julio a septiembre de 2012 [Tesis]San Salvador:Universidad de El Salvador[documento en Internet]. 2012 [citado 12 junio 2014]. Disponible en : http://ri.ues.edu.sv/4802/1/50107818.pdf

  24. Miller RD, Eriksson LI, Fleisher LA, Wiener Kronish JP, Young WL. Miller'sAnesthesia. Philadelphia: Ed. Churchill Livingstone; 2010.

  25. Zamora Pedroso A, López Rodríguez MS, González Griego J, Infante R, Valedon M. Analgesia intrarticular postoperatoria con bupivacaina, fentanilo y la combinación de ambos en cirugía artroscopica ambulatoria de rodilla. Revista Cubana de Anestesiología y Reanimación. 2004;3(2):26-32.

  26. Kehlet H, Andersen LO. Local infiltration analgesia in jointreplacement: theevidence and recommendationsforclinicalpractice. Acta AnaesthesiologicaScandinavica. 2011;55(7):778-84.

  27. Arti H, MehdinasabSA.Thecomparisoneffects of intra-articular injection of differentopioidsonpostoperativepain relieve afterarthroscopic anterior cruciateligamentreconstruction: A randomizedclinical trial study. J Res MedSci. 2011;16(9):1176-82.

  28. Essving P, Axelsson K, Åberg E, Spännar H, Gupta A, Lundin A. Local infiltration analgesia versus intrathecalmorphineforpostoperativepainmanagementafter total kneearthroplasty: a randomizedcontrolled trial. Anesthesia& Analgesia. 2011;113(4):926-33.

  29. Farouk S, Aly A. A comparison of intra-articular magnesium and/ormorphinewithbupivacaineforpostoperative analgesia afterarthroscopickneesurgery. Journal of anesthesia. 2009;23(4):508-12.

  30. Eroglu A, Saracoglu S, Erturk E, Kosucu M, Kerimoglu S. A comparison of intraarticularmorphine and bupivacaineforpain control and outpatient status afteranarthroscopickneesurgeryunder a lowdose of spinalanaesthesia. KneeSurgery, SportsTraumatology, Arthroscopy. 2010;18(11):1487-95.




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