[Local infiltration analgesia in total joint replacement].

Abstract:

INTRODUCTION:Total hip and knee replacment surgeries are characterized by severe postoperative pain. Local infiltration analgesia is proved to be very effective. However this method has not been widely used in Hungary. AIM:To evaluate the efficacy of the local infiltration analgesia with modified components in patients underwent total hip or knee replacement surgery. METHOD:Data of 99 consecutive patients underwent primary total hip or knee replacement surgery were evaluated prospectively. In all the 99 surgeries modified local infiltration analgesia was applied. Postoperative pain reported on a visual analog scale was recorded as well as the need for further analgetics during the first 18 hours after surgery. The cost of the analgetic drugs was calculated. The control group comprised 97 consecutive patients underwent total hip or knee replacement, where local infiltration analgesia was not applied. Statistical analysis was done. RESULTS:Patients received local infiltration analgesia reported significantly less pain (p<0.001). The need for postoperatively given analgetics was almost 50% less, and the cost of all postoperative analgetics was 47% less than in the control group. CONCLUSION:In total hip and knee replacement surgeries the modified local infiltration analgesia decreases postoperative pain effectively and contribute to the early mobilization of the patients. Orv. Hetil., 2017, 158(9), 352-357.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

de Jonge T,Görgényi S,Szabó G,Torkos MB

doi

10.1556/650.2017.30666

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

352-357

issue

9

eissn

0030-6002

issn

1788-6120

journal_volume

158

pub_type

杂志文章
  • [Do we use digitalis properly in the management of elderly patients suffering from the signs of chronic heart failure?].

    abstract:INTRODUCTION:The indications of digoxin therapy has been significantly narrowed and also the effective target therapeutic blood level has been decreased (0.9 micromol/L) compared to the previously desired one. OBJECTIVE:In this retrospective trial the data of 60 consecutive patients over 65 years (25 male, 35 female, ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Erdei F,Vendrey R,Dani G,Kovács E,Márk L,Katona A

    更新日期:2006-10-15 00:00:00

  • [Medicine and health care].

    abstract::Recently the importance of the infrastructure in which the medicine acts is rapidly developing. The health care system is a new science and practice due to the responsibility of the modern state about the health status of the citizens. At the same time the informatical epoch caused the rapid development of the diagnos...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Forgács I

    更新日期:1999-06-27 00:00:00

  • [The role of computed tomography perfusion in the diagnosis of brain ischaemic stroke].

    abstract:UNLABELLED:In recent years, the broad introduction of fast multidetector computed tomography (CT) systems and the availability of commercial software for perfusion analysis have made cerebral perfusion imaging with CT a practical technique for the clinical environment. AIM AND METHODS:This article reviews the use of C...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2008.28323

    authors: Halász S,Puskás T

    更新日期:2008-06-08 00:00:00

  • [Attitude of patients and customers toward on-line purchase of drugs--a Hungarian survey by community pharmacies].

    abstract::As internet is now available to nearly everyone in Hungary, the accessibility of websites offering pharmaceutical products is also increasing. The national and international regulation of these sites is currently an unsolved problem worldwide, thus potentially harmful, counterfeit and prescription only medicines are e...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2010.28974

    authors: Fittler A,Bosze G,Botz L

    更新日期:2010-11-28 00:00:00

  • [Clinical relevance of proximal tubal occlusion--diagnosis and therapy].

    abstract::Clinical examination of potential tubal disease is an essential part of the investigation of infertility. Proximal tubal occlusion accounts for 10-25% of tubal factor infertility. Authors review the history, methods and value of the relevant diagnostic and therapeutic procedures of proximal tubal occlusion, as well as...

    journal_title:Orvosi hetilap

    pub_type: 历史文章,杂志文章

    doi:10.1556/OH.2010.28834

    authors: Szabó I,Sobel G,Pajor A,Langmár Z

    更新日期:2010-07-04 00:00:00

  • [First decade of post-genomic era. Hopes, disappointments, new answers].

    abstract::The first decade after the announcement of the draft sequence of human genome has brought spectacular advances in basic science, however, the fact that human health did not benefit that much caused disappointment, as well. In order to explore the causes of the absence of revolution in medicine, beside the extension of...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2010.29014

    authors: Kosztolányi G

    更新日期:2010-12-19 00:00:00

  • [Double kidney and ureterocele associated with kidney calculi].

    abstract::The simultaneous occurrence of infrequent alterations--double kidney, ureterocele and calculi--is reported. Following the operation performed in 2 steps the patient became free of complaints and according to the repeated controls the dilatation of the efferent system regressed, no reflux was observed. ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Tankó A,Szücs M,Hamvas A,Nagy F

    更新日期:1990-04-08 00:00:00

  • [The importance of the doctor-patient communication in the care of somatizing patients].

    abstract::The term "somatization" refers to the manifestation of multiple somatic complaints not explained by organic changes. According to the literature, 15-25 percent of all medical visits are related to somatization. As medical training does not put enough emphasis on the evaluation of the possible psychological background ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2016.30453

    authors: Stauder A,Eörsi D,Pilling J

    更新日期:2016-04-24 00:00:00

  • [Chromosomal microarray comparative genome hybridization (arrayCGH) in prenatal settings. Proposal for Hungarian application in clinical practice].

    abstract::Invasive prenatal testing and conventional G-banding chromosome analysis have been considered to be the gold standard of fetal cytogenetic diagnosis. Standard karyotyping is, however, constrained by the limits of the resolution of using a microscope. The advantage of molecular karyotyping, array based methods is the e...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2019.31322

    authors: Tidrenczel Z,P Tardy E,Pikó H,Sarkadi E,Böjtös I,Demeter J,Kósa PJ,Beke A

    更新日期:2019-03-01 00:00:00

  • [Risk adjusted capitation is the basis for general practitioners' renumeration].

    abstract::The health care renumeration poses a great challenge for both politicians and policymakers. During the beginning of the 1990s, following the end of communism in Hungary, the reform of health care began with the introduction of the primary health care (PHC), specifically with general practitioner (GPP)/family medicine ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2019.31388

    authors: Balogh S

    更新日期:2019-07-01 00:00:00

  • [Clinical study of the Medicor-4 anesthesia-respirator].

    abstract::Authors describe the functional units of the volume-constant anaesthesia-ventilator: Medicor RSA-4 and the practical experiences with 61 patients--even of extreme parameters--furthermore give detailed advice to the use of the ventilator. They performed blood gas measurements and comparative tidal volume measurements i...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Incze F,Herepey A

    更新日期:1991-10-27 00:00:00

  • [Effect of antibiotics on autochtonous intestinal E. coli population in SPF mice and on planktonic phase isolates].

    abstract::Representatives of different groups of antibiotics were tested on the autochtonous Escherichia coli of mice being in biofilm mode of growth, as well as on their isolates in planktonic phase. Aminoglycoside antibiotics, chloramphenicol, oxytetracycline, erythromycin, lincomycin-clindamycin, and polymyxins showed a very...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kétyi I

    更新日期:1993-02-20 00:00:00

  • [Passive euthanasia and living will].

    abstract::This article deals with the intentional distinction between murder of first degree and passive euthanasia. In Hungary, active euthanasia is considered to be a murder of first degree, whilst the Netherlands, Belgium, Luxemburg and Switzerland have legalized the active form of mercy killing in Europe. The palliative ter...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2014.29950

    authors: Julesz M

    更新日期:2014-07-06 00:00:00

  • [Manifestations of systemic mycoses and related infections in the central nervous system].

    abstract:UNLABELLED:In daily practice mycotic infections of the CNS have become more and more frequent. The main causes are the wide-ranging use of corticosteroids, immunosuppressive, cytostatic drugs and antibiotics, the spreading of AIDS, the increasing number of surviving immature newborns. To illustrate the diagnostic diffi...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2009.28657

    authors: Tahin B,Cooke J,Grasselly M,Iványi JL,Szima B,Bobest M,Ligeti E,Brittig F,Garzuly F,Tóth C

    更新日期:2009-07-19 00:00:00

  • [Gastric micropneumatosis: a rare endoscopic entity].

    abstract::The rarely described gastric micropneumatosis is caused by accumulating air in the mucus membrane. It may associate mainly with Helicobacter pylori positive atrophic gastritis or with pneumatosis due to gas producing bacteria or non-infectious causes. In our case the disorder was diagnosed in a 69 years old patient, t...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2007.27959

    authors: Horváth M,Garamszegi M,Bogner B,Beró T

    更新日期:2007-04-29 00:00:00

  • [A case of detection of pulmonary sequestration during the early stage of pregnancy and subsequent successful therapy].

    abstract::As result of routine ultrasound screening during the pregnancy, the number of congenital abnormalities causes severe perinatal respiratory or circulatory failure detected antenatally is rising. The severity of the extralobar pulmonary sequestration is variable. The intrauterine diagnosis and the proper prognosis is di...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Hajdú H,Verebély T,Tóth PE,Németh J,Balázs G,Papp C

    更新日期:1996-05-05 00:00:00

  • [Hormonal and biochemical characterization of breast cyst fluid in gross cystic mastopathy].

    abstract::A total of 93 breast cyst fluids (BCF) obtained by needle aspiration of women suffering from gross cystic mastopathy was hormonally investigated. The mean age of the patients was 45 years (range 27-65). Estradiol (E2), progesterone (PROG), testosterone (TE), prolactin (PROL), estriol (E3), dehydroisoandrosterone and i...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Számel I,Budai B,Daubner K,Kralovánszky J,Csetényi J,Otto S,Besznyák I

    更新日期:1994-04-24 00:00:00

  • [Migration of an epicardial pacemaker into the abdominal cavity].

    abstract::Migration of a permanent pacemaker generator from their intramuscular pocket to the abdominal cavity is a less frequent, but potentially life-threatening complication. The authors present the case of a 69-year-old woman, who visited the emergency department of the clinic, with complains of non-specific abdominal sympt...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2015.30086

    authors: Barabás JI,Hüttl T,Hartyánszky I,Fazekas L,Oláh Z,Zima E,Paulovich E,Kőszegi A,Szabolcs Z

    更新日期:2015-01-25 00:00:00

  • [Neuropeptide-containing nerve fibers in the gallbladder].

    abstract::With the use of different antisera and Avidin-Biotin-Peroxidase technique, several immunopositive nerve fibers were observed in the wall of the gallbladder of the cat. A large amount of neuropeptide Y, substance P, somatostatin, vasoactive intestinal polypeptide immunoreactive nerve fibers were found in all layers. Th...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Fehér E,Fodor M,Szentpály O,Koncz E,Fehér J

    更新日期:1993-01-24 00:00:00

  • [Endoscopic ligation of bleeding esophageal varices].

    abstract::Endoscopic variceal ligation (EVL) is a new method for treating oesophageal varices, which was developed to reduce the high complication rate seen with endoscopic sclerotherapy. This technique consists of mechanical occlusion and thrombosis applying small elastic bands around the variceal channels in the distal oesoph...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Székely I,Székely A,József I,Fejes R,Solt I

    更新日期:1997-09-07 00:00:00

  • [Impact of microRNAs on molecular epidemiology].

    abstract::Cancer research concerning short non-coding RNA sequences and functionally linked to RNA interference (RNAi) have reached explosive breakthrough in the past decade. Molecular technology applies microRNA in extremely wide spectrum from molecular tumor prediction, diagnostics, progression monitoring and prevention. Func...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2011.29066

    authors: Gocze K,Gombos K,Pajkos G,Magda I,Ember A,Juhász K,Patczai B,Ember I

    更新日期:2011-04-17 00:00:00

  • [Familial hyperinsulinism].

    abstract::The authors present the case history of a 2 year old child suffering from nesidioblastosis. Severe non-ketotic symptomatic hypoglycaemia developed within the first hour of birth. Diagnosis of nesidioblastosis was confirmed by high insulin concentration accompanying hypoglycaemia, the increase in blood glucose level af...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Lásztity N,Balogh L

    更新日期:1995-07-23 00:00:00

  • [Risk-based prediabetes screening in a rural general practice - oral glucose tolerance test or glycated hemoglobin?]

    abstract::Introduction and aim: The aim of this study was to implement a two-stage diabetes screening programme in a severely disadvantaged municipality. In the first stage, diabetes risk assessment was carried out in the 18 to 75 age group, followed by screening of the high risk population for potential carbohydrate metabolism...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2019.31573

    authors: Galvács H,Szabó J,Balogh Z

    更新日期:2019-12-01 00:00:00

  • [The importance of CT-guided needle biopsy in the diagnosis of thoracic diseases].

    abstract::In the report on 35 CT-guided fine needle transthoracic biopsies the authors show the relevance of invasive radiological methods in tumor diagnostics. The results are compared with those published in the literature. CT-guided transthoracic biopsy is of crucial importance in final diagnosis of certain thoracic diseases...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Monostori Z,Repa I,Badár E,Strausz J

    更新日期:1993-06-27 00:00:00

  • [Effect of acute alcohol intake on certain cardiovascular functions in healthy young males].

    abstract::.15, 0.25 and 0.5 g/kg alcohol in the form of 40% brandy in one week intervals was consumed by eight healthy, regularly trained young men volunteers. Blood alcohol level, blood pressure and ECG were registered before and 30, 60 and 90 min after, each alcohol consumption. The cardiac output was measured with a radiocir...

    journal_title:Orvosi hetilap

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Movai V,Nádházi Z,Molnár G,Ungváry G,Folly G

    更新日期:1989-12-24 00:00:00

  • [Clinical features and therapy of uveitis in childhood].

    abstract::Introduction: Uveitis is characterized by inflammation of the middle layer of the eye. Its overall incidence is low. Autoimmune diseases and infections are the most common underlying diseases. Out of the autoimmune diseases, juvenile idiopathic arthritis is associated most frequently with uveitis. The topical ophthalm...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2019.31459

    authors: Kiss J,Gaál V,Nyul Z,Mosdósi B

    更新日期:2019-08-01 00:00:00

  • [Acute pancreatitis: recent advances in understanding its pathophysiology].

    abstract::This article reviews the recent changes in the understanding of acute pancreatitis pathophysiology emphasizing results deriving from the more detailed comprehension of the local and systemic aspects of the inflammatory process. The authors briefly discuss those theories that have been influencing the basic philosophie...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Telek G,Fehér J,Jakab F,Claude R

    更新日期:2000-02-06 00:00:00

  • [Experience with saphenous-peritoneal shunts in the treatment of intractable ascites].

    abstract:INTRODUCTION:The price and complication rates of pump models applied in the treatment of intractable ascites are significantly high. The development of a more simple, cheaper technique--using the biologically given venous valves--the saphenoperitoneal shunts became essential. TECHNIQUE AND RESULTS:In authors' departme...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Vizsy L,Beznicza H,Bátorfi J

    更新日期:2004-02-29 00:00:00

  • [Epilepsy surgery in childhood: theory and practice].

    abstract::1-1.5% of the Hungarian child population has epilepsy, and around 20% of them produces seizures in spite of modern antiepileptic drugs. A part of the pharmaco-resistant children may benefit from surgical removal of the epileptogenic focus. Presurgical evaluation has been developed a lot since the progress of neuroimag...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Fogarasi A,Neuwirth M,Gyorsok Z,Czirják S,Vajda J,Bognár L

    更新日期:2003-11-30 00:00:00

  • [Molecular epidemiology of hepatitis E virus in Hungary: endemic, food-borne zoonosis].

    abstract:UNLABELLED:Hepatitis E virus (HEV) is one of a common cause of acute, fecally transmitted hepatitis in developing countries. Identification of HEV in indigenous human infection and in domestic pig raises the possibility that HEV infection is also a zoonosis. AIM/METHODS:Molecular detection and epidemiology of HEV in h...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2009.28561

    authors: Reuter G,Fodor D,Forgách P,Kátai A,Szucs G

    更新日期:2009-03-01 00:00:00