Perioperative multimodal analgesia of total knee arthroplasty: current practices
10.3760/cma.j.cn121113-20220424-00229
- VernacularTitle:全膝关节置换术围手术期多模式镇痛的研究现状
- Author:
Yiming XU
1
;
Xisheng WENG
Author Information
1. 中国医学科学院北京协和医学院北京协和医院骨科，北京 100730
- Keywords:
Arthroplasty, replacement, knee;
Perioperative period;
Analgesia
- From:
Chinese Journal of Orthopaedics
2023;43(2):136-142
- CountryChina
- Language:Chinese
-
Abstract:
Pain management plays an essential role in the improvement of clinical outcome and patient satisfaction of total knee arthroplasty (TKA). With the emergence of preemptive analgesia, preventive analgesia and other analgesia concepts, the whole process of perioperative pain management and multimodal analgesia during perioperative period has become the most important principle of pain management for TKA. The use of classical analgesia drugs like acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) and opioid drugs still have important position. At the same time, various kinds of regional block analgesia represented by femoral nerve block, adductor canal block, peri-articular multimodal drug mixture injection, etc., have precise analgesic effects and less adverse reactions. Their role in the multimodal analgesia system after TKA is increasingly apparent.
