Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.07.040
Brazilian Journal of Anesthesiology
Short Communication

Pilot study of the effect of therapeutic photobiomodulation on postoperative pain in knee arthroplasty

Estudo piloto do efeito da fotobiomodulação terapêutica na dor pós-operatória de artroplastia de joelho

Marcia Uchoa de Rezende, Bruno Butturi Varone, Diego Ferreira Martuscelli, Guilherme Pereira Ocampos, George Miguel Goes Freire, Nathali Cordeiro Pinto, Marcelo Victor Pires de Sousa

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Abstract

Nine participants undergoing primary TKA submitted to spinal anesthesia, sedation, ultrasound-guided obturator and Femoral nerve Block analgesia, and photobiomodulation Therapy (FBMT) were evaluated regarding postoperative pain and morphine consumption. FBMT sessions were performed in the Immediate Postoperative period (IPO) and after 24 hours. Participants received 16.7±15 mg of morphine up to the third postoperative day. At IPO, mean pain score was 4.8±3.2 and 5.6±3.5, at rest and on movement, respectively. Photo biomodulation therapy can be considered an option for mitigating pain for patients undergoing TKA.

Keywords

Therapeutic photobiomodulation;  Analgesia;  Postoperative pain;  Osteoarthritis of the knee

Resumo

Série de nove pacientes submetidos a ATJ primária sob raquianestesia e sedação, bloqueio do nervo obturatório e femoral guiados por ultrassom, analgesia e fotobiomodulação terapêutica (FBMT) foram avaliados quanto a dor e consumo de morfina. As sessões de FBMT foram realizadas no pós-operatório imediato (POI) e após 24 horas. Os pacientes receberam 16,7±15 mg de morfina até o terceiro dia de pós-operatório. A dor em repouso foi em média 4,8±3,2 e a dor em movimento foi 5,6±3,5 no POI. A fotobiomodulação pode ser uma ferramenta para reduzir a dor em pacientes submetidos a ATJ.

Palavras-chave

Fotobiomodulação Terapêutica, Analgesia, Dor pós-operatória, Osteoartrite do joelho

References

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2 Ellis TA 2nd, Hammoud H, P Dela Merced, et al. Multimodal clinical pathway with adductor canal block decreases hospital length of stay, improves pain control, and reduces opioid consumption in total knee arthroplasty patients: a retrospective review J Arthroplasty, 33 (2018), pp. 2440-2448

3 W Kampitak, A Tanavalee, S Ngarmukos, et al. Opioid-sparing analgesia and enhanced recovery after total knee arthroplasty using combined triple nerve blocks with local infiltration analgesia J Arthroplasty, 34 (2019), pp. 295-302

4 PP Alfredo, JM Bjordal, WS Junior, et al. Long-term results of a randomized, controlled, double-blind study of low-level laser therapy before exercises in knee osteoarthritis: laser and exercises in knee osteoarthritis Clin Rehabil, 32 (2018), pp. 173-178

5 D Li, Z Yang, X Xie, J Zhao, P. Kang Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block: a systematic review and meta-analysis Int Orthop, 40 (2016), pp. 925-933
 

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