Cold Therapy pada Luka Operasi Ortopedi

  • Auliya Tunnisaa Nugraheni Universitas Indonesia
  • Masfuri Masfuri Universitas Indonesia

Abstract

This study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.This study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.


Keywords: Cryotherapy, Cold Compress, Orthopedics, Post-Operation

References

Adams, S. D. M., Varaei, S., & Jalalinia, F. (2020). Nurses’ Knowledge and Attitude towards Postoperative Pain Management in Ghana. Pain Research and Management, 2020, 1–7. https://doi.org/10.1155/2020/4893707

Allan, R., Malone, J., Alexander, J., Vorajee, S., Ihsan, M., Gregson, W., Kwiecien, S., & Mawhinney, C. (2022). Cold for Centuries: A Brief History of Cryotherapies to Improve Health, Injury and Post-Exercise Recovery. European Journal of Applied Physiology, 122(5), 1153–1162. https://doi.org/10.1007/s00421-022-04915-5

Bergh, C., Wennergren, D., Möller, M., & Brisby, H. (2020). Fracture Incidence in Adults in Relation to Age and Gender: A Study of 27,169 Fractures in the Swedish Fracture Register in a Well-defined Catchment Area. Pos One, 15(12), e0244291. https://doi.org/10.1371/journal.pone.0244291

Chen, M. C., Lin, C. C., Ko, J. Y., & Kuo, F. C. (2020). The Effects of Immediate Programmed Cryotherapy and Continuous Passive Motion in Patients After Computer-Assisted Total Knee Arthroplasty: a Prospective, Randomized Controlled Trial. Journal of Orthopaedic Surgery and Research, 15(1), 379. https://doi.org/10.1186/s13018-020-01924-y

Cohn, M. R., Cregar, W. M., Cohen, J. B., & Williams, J. C. (2022). Technique Spotlight. In Skeletal Trauma of the Upper Extremity, 222–230. Elsevier. https://doi.org/10.1016/B978-0-323-76180-2.00027-1

Ghassani, F. S., & Idris, F. H. (2023). Karakteristik Pasien Osteoartritis Genu di Poli Rehabilitasi Medik RS Setia Mitra Tahun 2020. Muhammadiyah Journal of Geriatric, 3(2), 54. https://doi.org/10.24853/mujg.3.2.54-61

Klintberg, I. H., & Larsson, M. EH. (2021). Shall We Use Cryotherapy in the Treatment in Surgical Procedures, in Acute Pain or Injury, or In Long Term Pain or Dysfunction? - A Systematic Review. Journal of Bodywork and Movement Therapies, 27, 368–387. https://doi.org/10.1016/j.jbmt.2021.03.002

Leegwater, N. C., Bloemers, F. W., de Korte, N., Heetveld, M. J., Kalisvaart, K. J., Schönhuth, C. P., Pijnenburg, B. A. C. M., Burger, B. J., Ponsen, K. J., Maier, A. B., van Royen, B. J., & Nolte, P. A. (2017). Postoperative Continuous-flow Cryocompression Therapy in the acute Recovery Phase of h|Hip Fracture Surgery—A Randomized Controlled Clinical Trial. Injury, 48(12), 2754–2761. https://doi.org/10.1016/j.injury.2017.10.024

Miettinen, H. J. A., Mäkirinne-Kallio, N., Kröger, H., & Miettinen, S. S. A. (2021). Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scandinavian Journal of Surgery, 110(3), 427–433. https://doi.org/10.1177/1457496920952232

Milone, M., Desiderio, A., Velotti, N., Manigrasso, M., Vertaldi, S., Bracale, U., D’Ambra, M., Servillo, G., De Simone, G., De Palma, F. D. E., Perruolo, G., Raciti, G. A., Miele, C., Beguinot, F., & De Palma, G. D. (2021). Surgical Stress and Metabolic Response After Totally Laparoscopic Right Colectomy. Scientific Reports, 11(1), 9652. https://doi.org/10.1038/s41598-021-89183-7

Muaddi, H., Lillie, E., Silva, S., Cross, J.-L., Ladha, K., Choi, S., Mocon, A., & Karanicolas, P. (2023). The Effect of Cryotherapy Application on Postoperative Pain. Annals of Surgery, 277(2), e257–e265. https://doi.org/10.1097/SLA.0000000000004987

Ningsih, D. A., Wijaya, A., Sari, I. P., Roni, F., & Wahdi, A. (2023). Nursing Care for Clients Who Experience Post Operating Femur Fractures with Acute Pain Nursing Problems in The Bima Room, Jombang Hospital. Journal for Quality in Women’s Health, 6(1), 55–59. https://doi.org/10.30994/jqwh.v6i1.190

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 Statement: An updated Guideline for Reporting Systematic Reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4

Ruffilli, A., Buda, R., Castagnini, F., Di Nicolantonio, D., Evangelisti, G., Giannini, S., & Faldini, C. (2015). Temperature-Controlled Continuous Cold Flow Device Versus Traditional Icing Regimen Following Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Comparative Trial. Archives of Orthopaedic and Trauma Surgery, 135(10), 1405–1410. https://doi.org/10.1007/s00402-015-2273-z

Sheng, J. A., Bales, N. J., Myers, S. A., Bautista, A. I., Roueinfar, M., Hale, T. M., & Handa, R. J. (2021). The Hypothalamic-Pituitary-Adrenal Axis: Development, Programming Actions of Hormones, and Maternal-Fetal Interactions. Frontiers in Behavioral Neuroscience, 14. https://doi.org/10.3389/fnbeh.2020.601939

Wan, X., Ji, L., Zhao, M., Zhu, S., & Tang, M. (2022). Evaluation of Application Effect of Self-Made Compression Cold Therapy in Postoperative Rehabilitation of Patients with Orthopedic Dyskinesia. Computational and Mathematical Methods in Medicine, 2022, 1–10. https://doi.org/10.1155/2022/8222933
Published
2024-06-16
Abstract viewed = 4 times
pdf downloaded = 3 times