Multimodal pain management with peripheral nerve blocks for total knee arthroplasty.

Michael R. Pagnotto, Mark Pagnano

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Multimodal pain management techniques using femoral and sciatic nerve blocks can dramatically improve a patient's experience after total knee arthroplasty. Nerve blocks reduce postoperative pain and the need for parenteral opioids and result in fewer medical complications associated with opioid use. Peripheral nerve blocks have traditionally been underutilized in lower extremity surgery; however, more modern techniques now allow for safe, efficient, and reliable femoral and sciatic blocks. Peripheral nerve blocks are now routinely used in both primary and revision total knee arthroplasty. Although it is difficult to isolate the added benefit of sciatic nerve blocks, there is a growing body of evidence for using femoral and/or sciatic nerve blocks as part of a multimodal approach to pain management. With many years of experience and published results on thousands of patients, it is clear that the risks of peripheral nerve blocks are minimal, whereas the benefits are substantial.

Original languageEnglish (US)
Pages (from-to)389-395
Number of pages7
JournalInstructional course lectures
Volume61
StatePublished - Jan 1 2012

Fingerprint

Knee Replacement Arthroplasties
Nerve Block
Pain Management
Peripheral Nerves
Sciatic Nerve
Femoral Nerve
Opioid Analgesics
Postoperative Pain
Thigh
Lower Extremity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Multimodal pain management with peripheral nerve blocks for total knee arthroplasty. / Pagnotto, Michael R.; Pagnano, Mark.

In: Instructional course lectures, Vol. 61, 01.01.2012, p. 389-395.

Research output: Contribution to journalArticle

@article{c04f48744c924a1585d965cd614064e3,
title = "Multimodal pain management with peripheral nerve blocks for total knee arthroplasty.",
abstract = "Multimodal pain management techniques using femoral and sciatic nerve blocks can dramatically improve a patient's experience after total knee arthroplasty. Nerve blocks reduce postoperative pain and the need for parenteral opioids and result in fewer medical complications associated with opioid use. Peripheral nerve blocks have traditionally been underutilized in lower extremity surgery; however, more modern techniques now allow for safe, efficient, and reliable femoral and sciatic blocks. Peripheral nerve blocks are now routinely used in both primary and revision total knee arthroplasty. Although it is difficult to isolate the added benefit of sciatic nerve blocks, there is a growing body of evidence for using femoral and/or sciatic nerve blocks as part of a multimodal approach to pain management. With many years of experience and published results on thousands of patients, it is clear that the risks of peripheral nerve blocks are minimal, whereas the benefits are substantial.",
author = "Pagnotto, {Michael R.} and Mark Pagnano",
year = "2012",
month = "1",
day = "1",
language = "English (US)",
volume = "61",
pages = "389--395",
journal = "Instructional course lectures",
issn = "0065-6895",
publisher = "American Association of Orthopaedic Surgeons",

}

TY - JOUR

T1 - Multimodal pain management with peripheral nerve blocks for total knee arthroplasty.

AU - Pagnotto, Michael R.

AU - Pagnano, Mark

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Multimodal pain management techniques using femoral and sciatic nerve blocks can dramatically improve a patient's experience after total knee arthroplasty. Nerve blocks reduce postoperative pain and the need for parenteral opioids and result in fewer medical complications associated with opioid use. Peripheral nerve blocks have traditionally been underutilized in lower extremity surgery; however, more modern techniques now allow for safe, efficient, and reliable femoral and sciatic blocks. Peripheral nerve blocks are now routinely used in both primary and revision total knee arthroplasty. Although it is difficult to isolate the added benefit of sciatic nerve blocks, there is a growing body of evidence for using femoral and/or sciatic nerve blocks as part of a multimodal approach to pain management. With many years of experience and published results on thousands of patients, it is clear that the risks of peripheral nerve blocks are minimal, whereas the benefits are substantial.

AB - Multimodal pain management techniques using femoral and sciatic nerve blocks can dramatically improve a patient's experience after total knee arthroplasty. Nerve blocks reduce postoperative pain and the need for parenteral opioids and result in fewer medical complications associated with opioid use. Peripheral nerve blocks have traditionally been underutilized in lower extremity surgery; however, more modern techniques now allow for safe, efficient, and reliable femoral and sciatic blocks. Peripheral nerve blocks are now routinely used in both primary and revision total knee arthroplasty. Although it is difficult to isolate the added benefit of sciatic nerve blocks, there is a growing body of evidence for using femoral and/or sciatic nerve blocks as part of a multimodal approach to pain management. With many years of experience and published results on thousands of patients, it is clear that the risks of peripheral nerve blocks are minimal, whereas the benefits are substantial.

UR - http://www.scopus.com/inward/record.url?scp=84869082570&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869082570&partnerID=8YFLogxK

M3 - Article

C2 - 22301247

AN - SCOPUS:84869082570

VL - 61

SP - 389

EP - 395

JO - Instructional course lectures

JF - Instructional course lectures

SN - 0065-6895

ER -