Analgesia postoperatoria tras artroplastia total de rodilla
- Aguiera Gómez, J.L. 1
- Martín Romero, J.L. 1
- Delgado Martínez, A.D. 2
- 1 Hospital Comarcal Infanta Margarita
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2
Hospital Universitario de Jaén
info
ISSN: 1578-9756
Any de publicació: 2016
Volum: 33
Número: 4
Pàgines: 33-46
Tipus: Article
Altres publicacions en: Revista de la Sociedad Andaluza de Traumatología y Ortopedia
Resum
Total knee arthroplasty (TKA) is a common procedure in orthopedic surgery. It’s usually associated with a moderate-severe pain during the first 24-72 hours of post-operation. The benefits of the regional techniques of anesthesia and analgesia will be demonstrated further. The use of peripheral nerve blocks decrease pain, morphine intake and improves mobility; more over patients are discharged faster and costs are lower. Actually, femoral nerve block is the gold standar technique to control the postoperative pain, in assotiation with others drugs (opioids, nonsteroidal anti-inflamatory drugs, selective COX-2 inhibitors, and others), which is called postoperative pain multimodal management after TKA, showing the best results. However, the occurrence of new analgesia techniques, like aductor canal block or cryoneurolysis, must be evaluated to give guidence about the most safe and effective technique to manage these patients.