Contemporary pain management in total knee arthroplasty
Khanasuk, Y.; Ngarmukos, S.
Journal of the Medical Association of Thailand 95(Suppl 10): S238-S244
2012
ISSN/ISBN: 0125-2208 PMID: 23451469 Document Number: 11773
Pain management has become a very important part of postoperative care for total knee arthroplasty patients. Contemporary pain control has evolved from high-dose opioid in the past to state-of-the-art multimodal regimens. These include multiple non-opioid medication such as NSAIDs, COX-2 inhibitors, and gabapentinoid, and novel anesthetic techniques such as preemptive analgesia and ultrasound-guided peripheral nerve blocks. Another method which is gaining popularity is intraarticular injection of anesthetic cocktail during surgery. Pre-op education can also help patients cope with their pain better.