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March 1, 2017Local and Regional AnesthesiaOpen Access

Anesthesia for the patient undergoing total knee replacement: current status and future prospects

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Key result

Regional anesthesia and multimodal analgesia are increasingly utilized for total knee arthroplasty to improve perioperative pain control, reduce systemic narcotic consumption, and fast-track recovery.

Why the study?

Does regional anesthesia and multimodal analgesia improve perioperative outcomes in patients undergoing total knee arthroplasty compared to general anesthesia?

Population

Patients undergoing total knee arthroplasty (TKA)

Comparison

Regional anesthesia and multimodal analgesia vs General anesthesia and traditional pain management

Design

Review

Authors

ZTZachary A. TurnbullDSDahniel SastowGGGregory P. Giambrone

Discussion

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Overview

Supports regional anesthesia trends in TKA; leaves open need for RCTs versus general anesthesia.

Structured PICO

Does regional anesthesia and multimodal analgesia improve perioperative outcomes in patients undergoing total knee arthroplasty compared to general anesthesia?

P
Population
Patients undergoing total knee arthroplasty (TKA)
I
Intervention
Regional anesthesia and multimodal analgesia (including peripheral nerve blockade, periarticular injection, and preemptive analgesia)
C
Comparator
General anesthesia and traditional pain management

The shift towards regional anesthesia and multimodal analgesia in total knee arthroplasty aims to improve perioperative pain control, reduce narcotic use, and facilitate rapid rehabilitation through formalized clinical pathways.

Cite This Study

Turnbull et al. (2017) conducted a review in Total knee arthroplasty (TKA). Regional anesthesia and multimodal analgesia vs. General anesthesia was evaluated. Regional anesthesia and multimodal analgesia are increasingly utilized for total knee arthroplasty to improve perioperative pain control, reduce systemic narcotic consumption, and fast-track recovery.

synapsesocial.com/papers/6a9ab12ccc0ca3339d0e5d8ahttps://doi.org/10.2147/lra.s101373
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Also Consider

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

  1. 1Trends in In-Hospital Major Morbidity and Mortality After Total Joint Arthroplasty2012 · 158 citations
  2. 2Analgesic and sedative effects of perioperative gabapentin in total knee arthroplasty2015 · 84 citations
  3. 3Future Young Patient Demand for Primary and Revision Joint Replacement: National Projections from 2010 to 20302009 · 1,520 citations
  4. 4The Direct and Indirect Costs to Society of Treatment for End-Stage Knee Osteoarthritis2013 · 198 citations
  5. 5For Outpatient Rotator Cuff Surgery, Nerve Block Anesthesia Provides Superior Same-day Recovery over General Anesthesia2005 · 316 citations