Implementation of multimodal pain management regimens after total knee arthroplasty has increased patient satisfaction, decreased pain scores, and facilitated faster recovery.
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The Journal of Bone and Joint Surgery - Current Concepts Review: 27 January 2020 - Volume 102 - Issue 8 - p. 719-727
Knee
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Analgesia in Total Knee Arthroplasty
Summers, Spencer, MD; Mohile, Neil, MD; Mcnamara, Colin, MD; Osman, Brian, MD; Gebhard, Ralf, MD; Hernandez, Victor Hugo, MD, MSKnee
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A variety of oral and intravenous analgesics, including nonsteroidal anti-inflammatory drugs, gabapentinoids, acetaminophen, and opioids, can be employed preoperatively and postoperatively.
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Neuraxial anesthesia, peripheral nerve blocks, and periarticular injections are effective pain modulators that should be implemented in concert with the anesthesia teams.
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There is no consensus on the optimal multimodal pain regimen, and substantial variability exists between institutions and providers.
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The goals of minimizing pain and improving functional recovery in the postoperative period must be considered in light of evidence-based practice as well as the risk profile of the proposed analgesic treatment.
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