• Instr Course Lect · Jan 2007

    Developments in spinal and epidural anesthesia and nerve blocks for total joint arthroplasty: what is new and exciting in pain management.

    • Eugene R Viscusi, Javad Parvizi, and T David Tarity.
    • Department of Anesthesiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
    • Instr Course Lect. 2007 Jan 1; 56: 139-45.

    AbstractThe decision to use regional or general anesthesia for patients undergoing total joint arthroplasty continues to be controversial. Recent reviews of the literature support the growing trend for the use of regional anesthesia with a multifaceted approach, spanning nuances in block placement as well as pharmacologic agents and delivery systems. Innovative developments offer appealing options and encouraging results for the management of pain after major orthopaedic procedures. The ultimate decision, although varied, requires careful preoperative planning and protocols to ensure adequate pain control and patient satisfaction.

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