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March 1, 2002Journal of the American Academy of Orthopaedic Surgeons

Pain Management After Major Orthopaedic Surgery: Current Strategies and New Concepts

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Why the study?

Do various analgesic techniques improve pain control in patients undergoing major orthopaedic surgery?

Population

Patients undergoing major orthopaedic surgery

Design

Review

Authors

RSRaymond S. SinatraJTJ. Galán TorresABA Bustos

Discussion

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Overview

May guide multimodal analgesia after major orthopaedic surgery; leaves open optimal regimens and comparative trials.

Structured PICO

Do various analgesic techniques improve pain control in patients undergoing major orthopaedic surgery?

P
Population
Patients undergoing major orthopaedic surgery
I
Intervention
Analgesic techniques including neuraxial analgesia, continuous plexus and peripheral neural blockades, intravenous patient-controlled analgesia, oral sustained-release opioids, and COX-2-type nonsteroidal analgesics
O
Outcome
Pain control

A multimodal approach including regional blockades, PCA, and COX-2 inhibitors offers effective pain management after major orthopaedic surgery while minimizing side effects.

Cite This Study

Sinatra et al. (2002) studied this question.

synapsesocial.com/papers/6a79787be357fbdac5890e02https://doi.org/10.5435/00124635-200203000-00007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postoperative orthopaedic pain — the effect of opiate premedication and local anaesthetic blocks1988 · 315 citations
  2. 2The influence of patient characteristics on the requirements for postoperative analgesia1989 · 165 citations
  3. 3Perioperative Morbidity in Patients Randomized to Epidural or General Anesthesia for Lower Extremity Vascular Surgery1993 · 550 citations
  4. 4Anesthesia for a Patient Undergoing Laparoscopic Cholecystectomy1990 · 64 citations
  5. 5Effects of Intravenous Patient-Controlled Analgesia with Morphine, Continuous Epidural Analgesia, and Continuous Three-in-One Block on Postoperative Pain and Knee Rehabilitation After Unilateral Total Knee Arthroplasty1998 · 526 citations