A Pre-Emptive Multimodal Pathway Featuring Peripheral Nerve Block Improves Perioperative Outcomes After Major Orthopedic Surgery

Regional Anesthesia and Pain Medicine

Volumn 33, Issue 6, 2008, Pages 510-517

  Hebl, James R ^a   Dilger, John A ^a   Byer, David E ^a   Kopp, Sandra L ^a   Stevens, Susanna R ^a   Pagnano, Mark W ^a   Hanssen, Arlen D ^a   Horlocker, Terese T ^a  

^a Mayo Clinic   (United States)

Author keywords

Multimodal analgesia; Perioperative outcomes; Peripheral nerve block; Total joint arthroplasty

Indexed keywords

ADRENALIN; BUPIVACAINE; KETOROLAC; OPIATE; OXYCODONE; PARACETAMOL; ROFECOXIB;

ADULT; AGED; ARTICLE; CLINICAL PROTOCOL; CONTINUOUS INFUSION; CONTROLLED STUDY; FEMALE; HOSPITAL DISCHARGE; HUMAN; ILEUS; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NAUSEA; NERVE BLOCK; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PERIPHERAL NERVE; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PRURITUS; RANGE OF MOTION; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT; TREATMENT OUTCOME; URINE RETENTION; VISUAL ANALOG SCALE; VOMITING;

AGED; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; CASE-CONTROL STUDIES; CLINICAL PROTOCOLS; COMBINED MODALITY THERAPY; FEMALE; HUMANS; ILEUS; LENGTH OF STAY; MALE; NERVE BLOCK; PAIN MEASUREMENT; PERIPHERAL NERVES; POSTOPERATIVE COMPLICATIONS; RANGE OF MOTION, ARTICULAR; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; URINARY RETENTION;

EID: 54349103714     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rapm.2008.04.008     Document Type: Article

References (22)

1. Capdevila X., Macaire P., Dadure C., Choquet O., Biboulet P., Ryckwaert Y., and D'Athis F. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: New landmarks, technical guidelines, and clinical evaluation. Anesth Analg 94 (2002) 1606-1613
2. Bonica J.J. The Management of Pain. 2nd ed. (1990), Lea & Febiger, Phildadelphia
3. Horlocker T.T., Kopp S.L., Pagnano M.W., and Hebl J.R. Analgesia for total hip and knee arthroplasty: A multimodal pathway featuring peripheral nerve block. J Am Acad Orthop Surg 14 (2006) 126-135
4. Singelyn F.J., Deyaert M., Joris D., Pendeville E., and Gouverneur J.M. Effects 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 arthroplasty. Anesth Analg 87 (1998) 88-92
5. Hebl J.R., Kopp S.L., Ali M.H., Horlocker T.T., Dilger J.A., Lennon R.L., Williams B.A., Hanssen A.D., and Pagnano M.W. A comprehensive anesthesia protocol that emphasizes peripheral nerve blockade for total knee and total hip arthroplasty. J Bone Joint Surg Am 87 (2005) 63-70
6. Jin F., and Chung F. Multimodal analgesia for postoperative pain control. J Clin Anesth 13 (2001) 524-539
7. Elia N., Lysakowski C., and Tramer M.R. Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone?. Meta-analyses of randomized trials. Anesthesiology 103 (2005) 1296-1304
8. Fassoulaki A., Triga A., Melemeni A., and Sarantopoulos C. Multimodal analgesia with gabapentin and local anesthetics prevents acute and chronic pain after breast surgery for cancer. Anesth Analg 101 (2005) 1427-1432
9. Maheshwari A.V., Boutary M., Yun A.G., Sirianni L.E., and Dorr L.D. Multimodal analgesia without routine parenteral narcotics for total hip arthroplasty. Clin Orthop Relat Res 453 (2006) 231-238
10. Reuben S.S., and Sklar J. Pain management in patients who undergo outpatient arthroscopic surgery of the knee. J Bone Joint Surg Am 82 (2000) 1754-1766
11. Reuben S.S., Steinberg R.B., Cohen M.A., Kilaru P.A., and Gibson C.S. Intraarticular morphine in the multimodal analgesic management of postoperative pain after ambulatory anterior cruciate ligament repair. Anesth Analg 86 (1998) 374-378
12. Reuben S.S., Connelly N.R., and Maciolek H. Postoperative analgesia with controlled-release oxycodone for outpatient anterior cruciate ligament surgery. Anesth Analg 88 (1999) 1286-1291
13. Buvanendran A., Kroin J.S., Tuman K.J., Lubenow T.R., Elmofty D., Moric M., and Rosenberg A.G. Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement: A randomized controlled trial. JAMA 290 (2003) 2411-2418
14. Richman J.M., Liu S.S., Courpas G., Wong R., Rowlingson A.J., McGready J., Cohen S.R., and Wu C.L. Does continuous peripheral nerve block provide superior pain control to opioids?. A meta-analysis. Anesth Analg 102 (2006) 248-257
15. Chelly J.E., Greger J., Gebhard R., Coupe K., Clyburn T.A., Buckle R., and Criswell A. Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. J Arthroplasty 16 (2001) 436-445
16. Macalou D., Trueck S., Meuret P., Heck M., Vial F., Ouologuem S., Capdevila X., Virion J.M., and Bouaziz H. Postoperative analgesia after total knee replacement: The effect of an obturator nerve block added to the femoral 3-in-1 nerve block. Anesth Analg 99 (2004) 251-254
17. Biboulet P., Morau D., Aubas P., Bringuier-Branchereau S., and Capdevila X. Postoperative analgesia after total-hip arthroplasty: Comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block. A prospective, randomized, double-blind study. Reg Anesth Pain Med 29 (2004) 102-109
18. Singelyn F.J., Ferrant T., Malisse M.F., and Joris D. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous femoral nerve sheath block on rehabilitation after unilateral total-hip arthroplasty. Reg Anesth Pain Med 30 (2005) 452-457
19. Ilfeld B.M., Gearen P.F., Enneking F.K., Berry L.F., Spadoni E.H., George S.Z., and Vandenborne K. Total knee arthroplasty as an overnight-stay procedure using continuous femoral nerve blocks at home: A prospective feasibility study. Anesth Analg 102 (2006) 87-90
20. Lennon R.L., and Horlocker T.T. Mayo Clinic Analgesic Pathway: Peripheral Nerve Blockade for Major Orthopedic Surgery (2006), Mayo Clinic Scientific Press, Taylor & Francis Group, Boca Raton, FL
21. Wenz J.F., Gurkan I., and Jibodh S.R. Mini-incision total hip arthroplasty: A comparative assessment of perioperative outcomes. Orthopedics 25 (2002) 1031-1043
22. Cepeda M.S., Africano J.M., Polo R., Alcala R., and Carr D.B. What decline in pain intensity is meaningful to patients with acute pain?. Pain 105 (2003) 151-157