Analgesic Trends in the Management of Pain Following Total Knee Arthroplasty: A Comparison of Peri-Articular Infiltration, Adductor Canal Block, and Adjuvant Treatment for Posterior Knee Pain.
| Autor: | Sikachi RR; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai West, Morningside Hospitals, 1000, Tenth Avenue, New York, NY 10019, USA., Campbell B; Department of Orthopedic Surgery, Zucker School of Medicine at Hofstra/Northwell, 1001 Franklin Avenue, Suite 110, Garden City, NY 11530, USA., Kassin E; Department of Anesthesiology, Zucker School of Medicine at Hofstra/Northwell, 270-05 76th Avenue, New Hyde Park, NY 11040, USA., Scuderi GR; Department of Orthopedic Surgery, Zucker School of Medicine at Hofstra/Northwell, 1001 Franklin Avenue, Suite 110, Garden City, NY 11530, USA. Electronic address: GScuderi@northwell.edu., Marino J; Department of Anesthesiology, Zucker School of Medicine at Hofstra/Northwell, 600 Community Drive, Manhasset, NY 11030, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Orthopedic clinics of North America [Orthop Clin North Am] 2023 Oct; Vol. 54 (4), pp. 369-376. Date of Electronic Publication: 2023 Jul 05. |
| DOI: | 10.1016/j.ocl.2023.05.004 |
| Abstrakt: | The rising number of total knee arthroplasties (TKA's) in the United States increases demand for perioperative pain modalities, which can promote early mobilization and discharge. Over the decades, a focus has shifted from opioid-dominant regimens to motor-sparing multimodal protocols, which have not only improved pain scores and reduced opioid consumption but also improved overall patient outcomes. In this article, we briefly review the evolution of post-operative pain management in patients undergoing TKA and summarize the literature on the most popular modalities currently used including periarticular injections, adductor canal blocks, distal selective nerve blocks, as well as liposomal bupivacaine as part of a multimodal approach. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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