Assessment for acute pain management in post-total knee replacement (TKR): a prospective cohort study in two Saudi Arabian medical centers

Abstract

Background Acute pain in post joint replacement surgeries is common, which makes the management of acute pain following joint replacement surgeries to be very important. Thus, this study was conducted to evaluate acute pain management of post TKR surgeries. Results Patients with negative pain management index (PMI) scores were classified as receiving inadequate analgesic treatment for their pain. Zero PMI was the most frequent score among the others with 195 (80.6%). The rest were − 1 (11 (4.5%)), 1 (27 (11.2%)), and 2 (9 (3.7%)), respectively. Only 4.5% (11/242) patients have negative PMI score, which could be considered as inadequate pain management in which these patients received inadequate analgesic treatment. Conclusion Acute pain management in post-TKR surgeries in both medical centers achieved an acceptable level, and majority of patients received an adequate analgesia in post-TKR surgeries.

Knowledge, attitudes, and practices of orthopedic operating room personnel regarding the use of pneumatic tourniquets

“…The survey allows a better understanding of the current status of a population’s Knowledge (K), Attitudes (A), and Practices (P) towards a specific matter, such as PTs, as well as potential issues within the current state and barriers to safe clinical application. Previous KAP studies undertaken among orthopedic surgeons helped to gain a better insight and plan additional educational interventions regarding surgical antibiotic prophylaxis [ 13 ], pain management [ 14 ], and venous thromboembolism [ 15 , 16 ]. A few studies assessing tourniquet usage reported adequate practice among medical personnel [ 17 ] and low knowledge among patients [ 18 ].…”