Acute Pain Management in Total Knee Arthroplasty

摘要: A significant proportion of patients receiving a total knee arthroplasty report inadequate postoperative pain control. Postoperative gives rise to adverse physiological and psychological responses with detrimental effect on patient outcomes satisfaction. Rehabilitation is delayed increases in the length hospital stay healthcare costs. Recent advances this field focus multimodal analgesic regime that combines number approaches provide more effective management. Detailed preoperative assessment allows multidisciplinary team identify address factors increase risk severe or difficult manage pain. There may also be role for ‘pre-emptive’ analgesia administered prior procedure. Intraoperatively, spinal general anaesthesia can supplemented nerve blocks local infiltrative anaesthesia. Postoperatively, combining different classes drug delivery techniques provides while reducing reliance opiates their effects delay recovery. At present, heterogeneity limits interpretation many clinical studies. The development standardised patient-specific regimes will aid future research.