APPROACHES TO POST-OPERATIVE PAIN RELIEF DURING TOTAL KNEE AND HIP REPLACEMENT
А. V. KURGАNSKIY, K. N. Khrаpov
Abstract
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А. V. KURGАNSKIY, K. N. Khrаpov
Abstract
Open-access reader
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.
Key concepts: Medicine, Pain relief, Total hip replacement, Total knee replacement, Knee replacement, Pain management, Anesthesia, Surgery