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Anesthetic and Analgesic Management for Outpatient Knee Arthroplasty.

Abstract Total knee arthroplasty traditionally has been associated with significant postoperative pain that can limit recovery and prolong hospital length of stay. Recently, however, due to financial pressures and an emphasis on improving patient satisfaction, many institutions are implementing outpatient and short-stay programs for patients undergoing this procedure. An effective perioperative anesthetic plan is an essential quality of a successful outpatient joint replacement program.
PMID
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Authors

Mayor MeshTerms
Keywords

Adductor canal block

IPACK block

Multimodal analgesia

Outpatient total knee arthroplasty

Regional anesthesia

Journal Title current pain and headache reports
Publication Year Start




PMID- 28283810
OWN - NLM
STAT- MEDLINE
DA  - 20170311
DCOM- 20170317
LR  - 20170317
IS  - 1534-3081 (Electronic)
IS  - 1534-3081 (Linking)
VI  - 21
IP  - 5
DP  - 2017 May
TI  - Anesthetic and Analgesic Management for Outpatient Knee Arthroplasty.
PG  - 23
LID - 10.1007/s11916-017-0623-y [doi]
AB  - PURPOSE OF REVIEW: Total knee arthroplasty traditionally has been associated with
      significant postoperative pain that can limit recovery and prolong hospital
      length of stay. Recently, however, due to financial pressures and an emphasis on 
      improving patient satisfaction, many institutions are implementing outpatient and
      short-stay programs for patients undergoing this procedure. An effective
      perioperative anesthetic plan is an essential quality of a successful outpatient 
      joint replacement program. RECENT FINDINGS: Improved technology and innovation
      has led to more effective and efficient strategies that contribute to a smoother 
      and quicker postoperative course. The use of peripheral nerve blocks in
      conjunction with a variety of systemic analgesics has reduced post-operative pain
      compared to older modalities. Specifically, the adductor canal and IPACK blocks
      have become increasingly popular due to their analgesic efficacy and muscle
      sparing characteristics. Outpatient knee arthroplasty is becoming a reality with 
      advancements in surgical pathways that incorporate these newer modalities with an
      emphasis on multidisciplinary coordination.
FAU - Cullom, Chris
AU  - Cullom C
AD  - Department of Anesthesiology, Tulane University School of Medicine, 1430 Tulane
      Ave, SL-4, New Orleans, LA, 70112, USA.
FAU - Weed, Jonathan T
AU  - Weed JT
AD  - Department of Anesthesiology, Tulane University School of Medicine, 1430 Tulane
      Ave, SL-4, New Orleans, LA, 70112, USA. jweed@tulane.edu.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Pain Headache Rep
JT  - Current pain and headache reports
JID - 100970666
RN  - 0 (Anesthetics, Local)
SB  - IM
MH  - Ambulatory Surgical Procedures/*adverse effects
MH  - Analgesia/methods
MH  - Anesthetics, Local/administration & dosage
MH  - Arthroplasty, Replacement, Knee/*adverse effects
MH  - Humans
MH  - Outpatients
MH  - Pain Management/*methods
MH  - Pain, Postoperative/etiology/*therapy
OTO - NOTNLM
OT  - Adductor canal block
OT  - IPACK block
OT  - Multimodal analgesia
OT  - Outpatient total knee arthroplasty
OT  - Regional anesthesia
EDAT- 2017/03/12 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/12 06:00
AID - 10.1007/s11916-017-0623-y [doi]
AID - 10.1007/s11916-017-0623-y [pii]
PST - ppublish
SO  - Curr Pain Headache Rep. 2017 May;21(5):23. doi: 10.1007/s11916-017-0623-y.

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