The efficacy and safety of early initiation of preoperative analgesia with celecoxib in patients underwent arthroscopic knee surgery: A randomized, controlled study

This study aimed to investigate the efficacy and safety of celecoxib 24 hours preoperative, 1 hour preoperative, and 4 hours postoperative administration in patients with arthroscopic knee surgery (AKS).In all, 206 patients who underwent AKS were consecutively recruited and randomized into 3 groups:...

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Bibliographic Details
Published in:	Medicine (Baltimore) Vol. 96; no. 42; p. e8234
Main Authors:	Zhou, Fanglun, Du, Yingxun, Huang, Weichun, Shan, Junbiao, Xu, Guohong
Format:	Journal Article
Language:	English
Published:	United States The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved 01-10-2017 Wolters Kluwer Health
Subjects:	Adult Analgesia - methods Arthroscopy - adverse effects Arthroscopy - methods Celecoxib - administration & dosage Cyclooxygenase 2 Inhibitors - administration & dosage Double-Blind Method Drug Administration Schedule Female Humans Knee Joint - surgery Male Observational Study Pain Management - methods Pain Measurement Pain, Postoperative - drug therapy Pain, Postoperative - etiology Preoperative Period Prospective Studies Time Factors Treatment Outcome
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Summary:	This study aimed to investigate the efficacy and safety of celecoxib 24 hours preoperative, 1 hour preoperative, and 4 hours postoperative administration in patients with arthroscopic knee surgery (AKS).In all, 206 patients who underwent AKS were consecutively recruited and randomized into 3 groups: (1) early preoperative analgesia group (EPEA), celecoxib 400 mg 24 hours preoperative administration; (2) preoperative analgesia group (PEA), celecoxib 400 mg 1 hour preoperative administration; (3) postoperative analgesia group (POA), celecoxib 400 mg 4 hours postoperative administration. Pain visual analog scale (VAS) scores (at rest and at 90 flexion) and patient global assessment (PGA) score were evaluated before and after operation, and also pethidine consumption and adverse events (AEs).The pain-rest VAS score, percentage of patients with moderate-severe pain at rest, and PGA score in the EPEA and PEA groups were decreased compared with POA group at 8 and 12 hours postoperation. Besides, pain-flexion to 90 VAS score in EPEA and PEA groups were also reduced compared with POA group at 8 hours postsurgery. Interestingly, the percentage of patients with moderate-severe pain at 90 flexion at 8 hours postsurgery in PEA group was fewer compared with POA group, whereas at 4 hours postoperation it was reduced in EPEA group compared with PEA and POA groups. As to consumption of pethidine, it was numerically decreased in EPEA and PEA groups compared with POA group. No difference between each 2 groups was found in AEs.Celecoxib was effective and safe as pre-emptive analgesia in AKS, and 1 hour administration before operation might be an optimal choice.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0025-7974 1536-5964
DOI:	10.1097/MD.0000000000008234