• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Sep 2019

    Review

    [Perioperative pain management of total hip arthroplasty].

    • Qiang Xiao and Zongke Zhou.
    • Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
    • Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Sep 15; 33 (9): 1190-1195.

    ObjectiveTo review and summarize the multimodal analgesia regimen in total hip arthroplasty (THA), and to provide basis for individual analgesia in clinic.MethodsThe literature of multimodal analgesia regimen in THA in recent years was systematically searched and summarized. The perioperative pain management regimens of THA in authors' center were introduced at the same time.ResultsPostoperative pain of THA is an important factor affecting patient satisfaction, so pain management is one of the key points in perioperative management of THA. At present, multimodal analgesia regimen is used in THA, which works by blocking pain conduction pathway at different levels, including wound ice compress, non-steroidal anti-inflammatory drugs, local infiltration anesthesia, peripheral nerve block, intraspinal anesthesia, central analgesics, and so on.ConclusionMultimodal analgesia regimen is the perioperative pain management of THA, which includes many analgesic methods. The safe and effective analgesic methods should be chosen according to the specific conditions of patients in order to achieve individualized analgesia.

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