• Orthopaedic nursing · Nov 2011

    Mulitmodal analgesia for postoperative total knee arthroplasty.

    • Cecilia Otten and Karen Dunn.
    • St. John Providence Hospital, Warren, MI, USA.
    • Orthop Nurs. 2011 Nov 1;30(6):373-80; quiz 381-2.

    BackgroundPostoperative pain after a total knee arthroplasty (TKA) is a major concern for the patient and nurse. Pain after a TKA can be severe and, when inadequately controlled, can impair or prevent functional rehabilitation with physiologic, psychologic, and economic consequences (). With multiple pain management regimens, healthcare providers need data on approaches that provide optimal postoperative pain relief with minimal side effects.PurposeThis retrospective study examined whether there were differences between regional anesthetics used for TKAs in their ability to control postoperative pain with fewer side effects.MethodsRetrospective chart review of two hundred fifty seven charts.ResultsPatients who received all 3 anesthetic modalities (intrathecal morphine sulfate, single-shot femoral nerve block, and wound catheter) had better pain control postoperative TKA and requested less opioids.

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