Pharmacologic Pain Management Before and After Total Joint Replacement of the Hip and Knee
| Autor: | Mehran Aghazadeh, James V. Bono, Abdel K. Mehio, Claire E. Robbins, Carl T. Talmo |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Narcotic Arthroplasty Replacement Hip medicine.medical_treatment Anti-Inflammatory Agents Osteoarthritis Osteoarthritis Hip Patient satisfaction medicine Humans Pain Management Postoperative Period Arthroplasty Replacement Knee Adverse effect Aged Aged 80 and over Hip surgery Analgesics Pain Postoperative business.industry Osteoarthritis Knee medicine.disease Arthroplasty Anesthesia Preoperative Period Physical therapy Female Tramadol Viscosupplementation Geriatrics and Gerontology business medicine.drug |
| Zdroj: | Clinics in Geriatric Medicine. 28:459-470 |
| ISSN: | 0749-0690 |
| DOI: | 10.1016/j.cger.2012.05.004 |
| Popis: | There are many effective treatment measures for OA of the hip or knee, with varying degrees of effectiveness. Nonoperative measures include patient education, physical therapy, activity modification, weight loss, and medications. Pharmacologic strategies include acetaminophen, NSAIDs, injections of cortisone or viscosupplementation, and, less commonly, tramadol or other pain relievers. In patients who may be candidates for TJR, narcotic medications should be avoided to preserve their benefits for the postoperative period. Over the past 20 years, multimodal pain management has been beneficial to the patient undergoing TJR surgery. Studies have shown this form of pain management decreases postoperative opioid consumption and the related adverse effects. Research is warranted in the areas of postoperative pain scores and patient satisfaction as institutional multimodal protocols continue to evolve. |
| Databáze: | OpenAIRE |
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