2018•Messenger of Anesthesiology and ResuscitationOpen access

APPROACHES TO POST-OPERATIVE PAIN RELIEF DURING TOTAL KNEE AND HIP REPLACEMENT

А. V. KURGАNSKIY, K. N. Khrаpov

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Abstract

The review describes modern approaches to pain relief in the patients after total knee and hip replacement. It covers the principles of mult i-m odal analgesia, benefits and drawbacks of such ways of pain relief as intravenous analgesia with opioids, spinal and epidural analgesia; it compares different variants of peripheral blocks, and puts some light on a relatively new method of local periarticular infiltration anesthesia. The authors agree that further research is needed to optimize pos t-o perative pain relief after total knee and hip replacement.

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The review describes modern approaches to pain relief in the patients after total knee and hip replacement. It covers the principles of mult i-m odal analgesia, benefits and drawbacks of such ways of pain relief as intravenous analgesia with opioids, spinal and epidural analgesia; it compares different variants of peripheral blocks, and puts some light on a relatively new method of local periarticular infiltration anesthesia. The authors agree that further research is needed to optimize pos t-o perative pain relief after total knee and hip replacement.

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Available abstract

The review describes modern approaches to pain relief in the patients after total knee and hip replacement. It covers the principles of mult i-m odal analgesia, benefits and drawbacks of such ways of pain relief as intravenous analgesia with opioids, spinal and epidural analgesia; it compares different variants of peripheral blocks, and puts some light on a relatively new method of local periarticular infiltration anesthesia. The authors agree that further research is needed to optimize pos t-o perative pain relief after total knee and hip replacement.

Key concepts: Medicine, Pain relief, Total hip replacement, Total knee replacement, Knee replacement, Pain management, Anesthesia, Surgery

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