Instructional course lectures
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Theoretically, an appropriately designed and implemented multimodal pain protocol should reduce postoperative pain levels, need for narcotic medication, and adverse events while improving functional recovery including ambulation, discharge from hospital, range of motion, and return to work. A complete, perioperative multimodal pain protocol for total hip replacement and total knee replacement, including use of a novel periarticular injection, has been described and early clinical results are reported.
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Pain control following total joint arthroplasty is critical for optimizing patient outcome. Both the real and perceived success of joint arthroplasty surgery depends on the patient's level of pain in the postoperative period. ⋯ Optimal pain control must be balanced against the adverse effects of narcotics, including alteration of sensorium (especially in older patients) as well as respiratory depression. Modern strategies to control postoperative pain involve a multimodal approach that includes the use of intravenous patient-controlled analgesia.