Multimodal Pain Management After Total Joint Arthroplasty

被引：245

作者：

Parvizi, Javad ^{[1
]}

Miller, Adam G. ^{[1
]}

Gandhi, Kishor ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Rothman Inst Orthoped, Philadelphia, PA 19107 USA

来源：

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME | 2011年 / 93A卷 / 11期

关键词：

TOTAL KNEE ARTHROPLASTY; PATIENT-CONTROLLED ANALGESIA; TOTAL-HIP-ARTHROPLASTY; RANDOMIZED CONTROLLED-TRIAL; IONTOPHORETIC TRANSDERMAL SYSTEM; CONTROLLED-RELEASE OXYCODONE; MAJOR ORTHOPEDIC-SURGERY; LUMBAR PLEXUS BLOCK; POSTOPERATIVE PAIN; EPIDURAL ANALGESIA;

D O I：

10.2106/JBJS.J.01095

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

▶ Adequate postoperative pain control in patients who have undergone total joint arthroplasty allows faster rehabilitation and reduces the rate of postoperative complications. ▶ Multimodal pain management involves the introduction of adjunctive pain control methods in an attempt to control pain with less reliance on opioids and fewer side effects. ▶ Current research suggests that traditional nonsteroidal anti-inflammatory drugs (NSAIDs) and the associated cyclooxygenase type-2 (COX-2) inhibitors improve pain control in most cases. ▶ Nearly all multimodal pain management modalities have a safe side-effect profile when they are added to existing methods. The exception is the administration of DepoDur (extended-release epidural morphine) to elderly or respiratory compromised patients because of a potential for hypoxia and cardiopulmonary events. Copyright © 2011 by The Journal of Bone and Joint Surgery, Incorporated.

引用

页码：1075 / 1084

页数：10

共 98 条

[1]

Abdul-Hadi O, 2009, J BONE JOINT SURG AM, V91A, P2020

[2]

[Anonymous], 2003, COCHRANE DATABASE SY, DOI DOI 10.1002/14651858.CD003071

[3]

ARUNASALAM K, 1983, ANAESTHESIA, V38, P529

[4]

Ashburn MA, 2004, ANESTHESIOLOGY, V100, P1573

[5]

Preliminary Results of the Australasian Regional Anaesthesia Collaboration A Prospective Audit of More Than 7000 Peripheral Nerve and Plexus Blocks for Neurologic and Other Complications [J].

Barrington, Michael J. ;

Watts, Steve A. ;

Gledhill, Samuel R. ;

Thomas, Rowan D. ;

Said, Simone A. ;

Snyder, Gabriel L. ;

Tay, Valerie S. ;

Jamrozik, Konrad .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (06) :534-541

[6]

Postoperative analgesia after total-hip arthroplasty: Comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block. A prospective, randomized, double-blind study [J].

Biboulet, P ;

Morau, D ;

Aubas, P ;

Bringuier-Branchereau, S ;

Capdevila, X .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2004, 29 (02) :102-109

[7]

Epidural magnesium reduces postoperative analgesic requirement [J].

Bilir, A. ;

Gulec, S. ;

Erkan, A. ;

Ozcelik, A. .

BRITISH JOURNAL OF ANAESTHESIA, 2007, 98 (04) :519-523

[8]

Efficacy of postoperative epidural analgesia - A meta-analysis [J].

Block, BM ;

Liu, SS ;

Rowlingson, AJ ;

Cowan, AR ;

Cowan, JA ;

Wu, CL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (18) :2455-2463

[9]

Postoperative intravenous morphine consumption, pain scores, and side effects with perioperative oral controlled-release oxycodone after lumbar discectomy [J].

Blumenthal, Stephan ;

Min, Kan ;

Marquardt, Michael ;

Borgeat, Alain .

ANESTHESIA AND ANALGESIA, 2007, 105 (01) :233-237

[10]

Patient versus surgeon satisfaction after total hip arthroplasty [J].

Brokelman, RBG ;

van Loon, CJA ;

Rijnberg, WJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (04) :495-498

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