Local infiltration analgesia for total knee arthroplasty.

نویسندگان

  • C J L McCartney
  • G A McLeod
چکیده

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منابع مشابه

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...

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Aap20765 334..339

Introduction: Total knee arthroplasty is associated with moderate to severe pain, and effective analgesia is essential to facilitate postoperative recovery. This retrospective cohort study examined the analgesic and rehabilitation outcomes associated with 48-hour continuous femoral nerve block, local infiltration analgesia, or local infiltration analgesia plus adductor canal nerve block. Method...

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A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study.

BACKGROUND Although numerous methods of postoperative analgesia have been investigated in an attempt to improve pain control after total knee arthroplasty, parenteral narcotics still play a major role in postoperative pain management. Local anesthetics have the advantage of blocking pain conduction at its origin and minimizing the systemic side effects associated with postoperative narcotic use...

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Local Periarticular Analgesia in Total Knee Arthroplasty

OBJECTIVE To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. ...

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Autologous Blood Transfusion after Local Infiltration Analgesia with Ropivacaine in Total Knee and Hip Arthroplasty

Aims. To study the safety of autotransfusion following local infiltration analgesia (LIA) with ropivacaine. Background. Knowledge of blood concentrations of ropivacaine after LIA and autotransfusion is crucial. However, very limited data are available for toxicological risk assessment. Methods. Autotransfusion was studied in patients after total knee arthroplasty (TKA: n = 25) and total hip art...

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Local infiltration analgesia for pain after total knee replacement surgery: a winner or just a strong runner-up?

Local infiltration analgesia (LIA) has been introduced recently as a promising step forward in reducing postoperative pain and side effects from analgesics after knee arthroplasty and, so far, with less convincing results after hip artroplasty. As often with new methods, there is a way to go from the first, enthusiastic, nonblinded case series to evidencebased recommendations for clinical, ever...

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عنوان ژورنال:
  • British journal of anaesthesia

دوره 107 4  شماره 

صفحات  -

تاریخ انتشار 2011