Study: IV and Pill Form of Acetaminophen Work Equally Well After Hip Replacement as Part of Pain Management Plan

Both types of acetaminophen were tested as part of multimodal analgesia protocol by researchers.

A pivotal role in patient care is pain management post surgery and further research regarding this is being done in New York city at Hospital for Special Surgery (HSS) .A study was performed to compare acetaminophen (Tylenol), in the pill form versus intravenous after hip replacement as part of the general pain management

It was found out that both forms worked equally well. The paper was titled, “IV vs. Oral Acetaminophen as a Component of Multimodal Analgesia after Total Hip Arthroplasty: A Randomized, Double Blinded, Controlled Trial,” and was presented at the “American Academy of Orthopedic Surgeons”

The study has been published online after the printed publication in Arthoplastys’ journal. Dr. Geoffrey Westrich who presented the study at HSS says: “At a time when health care costs are increasingly under the microscope, the study supports the use of oral acetaminophen, which is less costly and less invasive to administer,”

Dr. Westrich explains: “A multifaceted pain management plan is standard for all patients having joint replacement surgery at HSS, known as ‘multimodal analgesia,’ it entails the use of several different anesthetic agents and medications both during and after surgery to control pain and reduce side effects.”

All the patients in the experiment underwent hip replacement surgery. All of them were given standard pain control formula after surgery and they were randomly divided into two groups. One group was given intravenous acetaminophen, whereas the other group took oral pill.

When the study was launched, the scientists believed that intravenous acetaminophen could offer a benefit for pain management, as it gets to the blood stream faster than the pill form. However the study proved that they were equally good.

Dr. Westrich said: “Patients in both groups had low pain scores with activity, minimal opioid-related side effects, and limited opioid usage. The big picture highlights multimodal analgesia overall as an effective method of pain control after joint replacement surgery.”