| Title | Multimodal analgesia for hip arthroplasty. | | Author(s) | Tang R, Evans H, Chaput A, Kim C | | Institution | Department of Anesthesiology, The Ottawa Hospital Civic Campus and University of Ottawa, 1053 Carling Avenue, Ottawa, Ontario, Canada. | | Source | Orthop Clin North Am 2009 Jul; 40(3):377-87. | | MeSH | Amines
Analgesia
Analgesics
Anesthetics, Local
Arthroplasty, Replacement, Hip
Combined Modality Therapy
Cyclohexanecarboxylic Acids
Cyclooxygenase 2 Inhibitors
Humans
Pain, Postoperative
gamma-Aminobutyric Acid
| | Abstract | Multimodal analgesia incorporates the use of analgesic adjuncts with different mechanisms of action to enhance postoperative pain management. Acetaminophen, anti-inflammatories, and gabapentinoids provide effective analgesia while reducing opioid requirements and opioid-related side effects. Intrathecal morphine and periarticular local anesthetic infiltration further enhance dynamic analgesia and improve postoperative mobilization. Epidural analgesia, peripheral nerve blocks, tramadol, ketamine, and/or clonidine can be added for improved benefit in opioid-tolerant individuals. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 19576406 |
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