High-volume local infiltration analgesia combined with intravenous or local ketorolac+morphine compared with epidural analgesia after total knee arthroplasty

REGIONAL ANAESTHESIA High-volume local infiltration analgesia combined with intravenous or local ketorolac1morphine compared with epidural analgesia after total knee arthroplasty

Key points † After total knee arthroplasty, local infiltration analgesia (LIA) with intra-articular ketorolac and morphine was superior to epidural anaesthesia after the initial 24 h. † Epidural anaesthesia offered better initial pain relief, despite more common side-effects such as hypotension at the post-anaesthetic care unit. † Ketorolac and morphine showed a superior therapeutic balance whe...

Local infiltration analgesia for total knee arthroplasty.

for investigating the performance of standard operating procedures in anaesthesia. Br J Anaesth 2007; 99: 673–8 17 Bruppacher H, Alam S, LeBlanc V, et al. Simulation-based training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology 2010; 112: 985–92 18 Murray D, Boulet J, Avidan M, et al. Performance of residents and anesthesiolog...

High-volume Local Infiltration Analgesia in Hip and Knee Arthroplasty

A randomized, controlled trial comparing local infiltration analgesia with epidural infusion for total knee arthroplasty

BACKGROUND There have been few studies describing wound infiltration with additional intraarticular administration of multimodal analgesia for total knee arthroplasty (TKA). In this study, we assessed the efficacy of wound infiltration combined with intraarticular regional analgesia with epidural infusion on analgesic requirements and postoperative pain after TKA. METHODS 40 consecutive patie...

Adductor canal block with local infiltrative analgesia compared with local infiltrate analgesia for pain control after total knee arthroplasty

BACKGROUND This meta-analysis aimed to evaluate the efficiency and safety of the combined adductor canal block with peri-articular infiltration versus periarticular infiltration alone for pain control after total knee arthroplasty (TKA). METHODS PubMed, Medline, Embase, Web of Science, and the Cochrane Library were searched to identify articles comparing the combined adductor canal block with...