Orthopaedic nursing
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Orthopaedic nursing · Sep 2009
Comparative StudyA comparison of patient pain responses and medication regimens after hip/knee replacement.
Increased emphasis on adequate pain control as a patient expectation and a change in professional practice standards has prompted research on new mechanisms of pain medication delivery in an effort to improve outcomes and efficacy. ⋯ Pain scores for both groups were relatively low with an average score of 3.1 at the time of postoperative admission decreasing to an average of 2.7 at 16 and 24 hours. There were no significant differences in patients reported pain levels between the EREM and traditional control regimens.
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Orthopaedic nursing · Sep 2009
Comparative StudyThe effectiveness of femoral/sciatic nerve blocks on postoperative pain management in total knee arthroplasty.
Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Lack of adequate pain control can hinder early intensive physical therapy, the most influential factor for a good outcome. The purpose of this study was to evaluate the effectiveness of the femoral/sciatic block with postoperative pain management in comparison with conventional pain management in patients who have undergone unilateral primary TKA. ⋯ Findings indicate that femoral/sciatic nerve blocks in unilateral TKA are an effective method of postoperative pain management.
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Orthopaedic nursing · Sep 2009
Promoting the use of periarticular multimodal drug injection for total knee arthroplasty.
Postoperative pain in total knee arthroplasty is a challenge that affects the facets of an optimal recovery process. Adequate pain management can be achieved with traditional methods, such as parenteral opioids, epidural analgesic, and peripheral nerve blocks, but is often associated with disruptive side effects, mostly attributed to the opioids. ⋯ The purpose of this article is to describe the use and effectiveness of periarticular multimodal drug injection for postoperative pain management and accentuate the potential consequent effects of effective pain control. Comparative differentiation of this method with other forms of pain management modality is illustrated with strong emphasis on safety and efficacy.