Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery: A case study of 325 patients

摘要: Background We have developed a multimodal technique for the control of pain following knee and hip surgery, called "local infiltration analgesia" (LIA). It is based on systematic mixture ropiva-caine, ketorolac, adrenaline into tissues around surgical field to achieve satisfactory with little physiological disturbance. The allows virtually immediate mobilization earlier discharge from hospital. Patients methods In this open, nonrandomized case series, we used LIA manage postoperative in all 325 patients presenting our service Jan 1, 2005 Dec 31,2006 elective resurfacing (HRA), primary total replacement (THR), or arthroplasty (TKR). recorded scores, times, morphine usage entire group. Results Pain was generally (numerical rating scale score range 0-3). No required two-thirds patients. Most were able walk assistance between 5 6 h after surgery independent mobility achieved 13-22 surgery. Orthostatic hypotension, nausea, vomiting occasionally associated standing first time, but other side effects unremarkable. 230 (71%) discharged directly home single overnight stay Interpretation Local analgesia simple, practical, safe, effective management