TY - JOUR
T1 - Assuring a Painless Total Hip Arthroplasty
T2 - A Multimodal Approach Emphasizing Peripheral Nerve Blocks
AU - Pagnano, Mark W.
AU - Hebl, James
AU - Horlocker, Terese
PY - 2006/6
Y1 - 2006/6
N2 - A highly effective comprehensive multimodal pain protocol has evolved at our institution for both primary and revision hip and knee arthroplasty. At the center of this protocol are peripheral nerve blocks to deliver postoperative pain relief. Total hip arthroplasty patients receive a lumbar plexus block with an indwelling catheter. Total knee arthroplasty patients receive a femoral nerve block with an indwelling catheter and also get a single-shot sciatic nerve block. Before surgery, patients are given a long-acting oral narcotic medication and a nonsteroidal anti-inflammatory. After surgery, oral medications are given on a set schedule and include acetaminophen, a nonsteroidal anti-inflammatory, and a long-acting oral narcotic. Outstanding pain control is achieved without parenteral narcotics and allows early physical therapy, early return to self-care, and improved patient satisfaction.
AB - A highly effective comprehensive multimodal pain protocol has evolved at our institution for both primary and revision hip and knee arthroplasty. At the center of this protocol are peripheral nerve blocks to deliver postoperative pain relief. Total hip arthroplasty patients receive a lumbar plexus block with an indwelling catheter. Total knee arthroplasty patients receive a femoral nerve block with an indwelling catheter and also get a single-shot sciatic nerve block. Before surgery, patients are given a long-acting oral narcotic medication and a nonsteroidal anti-inflammatory. After surgery, oral medications are given on a set schedule and include acetaminophen, a nonsteroidal anti-inflammatory, and a long-acting oral narcotic. Outstanding pain control is achieved without parenteral narcotics and allows early physical therapy, early return to self-care, and improved patient satisfaction.
KW - analgesia
KW - pain management
KW - regional anesthesia
KW - total hip arthroplasty
KW - total knee arthroplasty
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U2 - 10.1016/j.arth.2006.03.001
DO - 10.1016/j.arth.2006.03.001
M3 - Article
C2 - 16781436
AN - SCOPUS:33744983283
SN - 0883-5403
VL - 21
SP - 80
EP - 84
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 4 SUPPL.
ER -