Contemporary pain management strategies for minimally invasive total knee arthroplasty.

Aaron Krych, Terese T. Horlocker, James R. Hebl, Mark Pagnano

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The introduction of minimally invasive total knee arthroplasty has been accompanied by substantial changes in anesthesia and analgesia techniques. It is well recognized that the goals of minimally invasive surgery, which include rapid rehabilitation and improved patient function, cannot be achieved without excellent postoperative analgesia. Traditional postoperative pain management has been associated with high rates of suboptimal pain control, however. The conventional options for early postsurgical pain management include indwelling epidural catheters, which require changes in postoperative prophylaxis for thromboembolism, and patient-controlled analgesia pumps, which are associated with fluctuating pain levels and inconsistent pain relief. Numerous adverse effects are associated with traditional opioid medications, including respiratory depression, urinary retention, nausea, sedation, constipation, and pruritus. Safe, effective, and well-tolerated early pain relief after a minimally invasive knee replacement can be accomplished using a multimodal oral pain regimen, peripheral nerve blocks, and local injections.

Original languageEnglish (US)
Pages (from-to)99-109
Number of pages11
JournalInstructional course lectures
Volume59
StatePublished - Jul 30 2010

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Knee Replacement Arthroplasties
Pain Management
Pain
Anesthesia and Analgesia
Patient-Controlled Analgesia
Indwelling Catheters
Urinary Retention
Minimally Invasive Surgical Procedures
Nerve Block
Thromboembolism
Constipation
Pruritus
Postoperative Pain
Peripheral Nerves
Respiratory Insufficiency
Analgesia
Nausea
Opioid Analgesics
Knee
Rehabilitation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Contemporary pain management strategies for minimally invasive total knee arthroplasty. / Krych, Aaron; Horlocker, Terese T.; Hebl, James R.; Pagnano, Mark.

In: Instructional course lectures, Vol. 59, 30.07.2010, p. 99-109.

Research output: Contribution to journalArticle

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