Efficacy of a multimodal analgesia protocol in total knee arthroplasty: A randomized, controlled trial

Journal of International Medical Research

Volumn 38, Issue 4, 2010, Pages 1404-1412

  Fu, P L ^a   Xiao, J ^a   Zhu, Y L ^a   Wu, H S ^a   Li, X H ^a   Wu, Y L ^a   Qian, Q R ^a  

^a SECOND MILITARY MEDICAL UNIVERSITY   (China)

Author keywords

Analgesics; Multimodal analgesia protocol; Opioids; Total knee arthroplasty

Indexed keywords

ADRENALIN; BETAMETHASONE; CELECOXIB; MORPHINE; ROPIVACAINE; TRAMADOL;

AGED; ARTICLE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; DIASTOLIC BLOOD PRESSURE; DOUBLE BLIND PROCEDURE; DRUG EFFICACY; DRUG MIXTURE; DRUG RESPONSE; DRUG SAFETY; FEMALE; HEART RATE; HUMAN; KNEE FUNCTION; KNEE OSTEOARTHRITIS; MALE; NAUSEA AND VOMITING; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE CARE; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RANGE OF MOTION; RASH; RESPIRATION DEPRESSION; SIDE EFFECT; SYSTOLIC BLOOD PRESSURE; TOTAL KNEE REPLACEMENT; URINE RETENTION; VISUAL ANALOG SCALE; WOUND HEALING IMPAIRMENT;

EID: 77957728433     PISSN: 03000605     EISSN: None     Source Type: Journal    
DOI: 10.1177/147323001003800422     Document Type: Article

References (24)

1. Ethgen O, Bruyere O, Richy F, et al: Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 2004; 86-A: 963-974.
2. Viscusi ER: Emerging techniques in the treatment of postoperative pain. Am J Health Syst Pharm 2004; 61(suppl 1): S11-S14.
3. Singelyn FJ, Deyaert M, Joris D, et al: 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 1998; 87: 88-92.
4. Horlocker TT, Cabanela ME, Wedel DJ: Does postoperative epidural analgesia increase the risk of peroneal nerve palsy after total knee arthroplasty? Anesth Analg 1994; 79: 495-500.
5. Horlocker TT, Wedel DJ: Neuraxial block and lowmolecular-weight heparin: balancing perioperative analgesia and thromboprophylaxis. Reg Anesth PainMed 1998; 23(6 suppl 2): 164-177.
6. Horlocker TT, Hebl JR, Kinney MA, et al: Opioid-free analgesia following total knee arthroplasty-a multimodal approach using continuous lumbar plexus (psoas compartment) block, acetaminophen, and ketorolac. Reg Anesth Pain Med 2002; 27: 105-108.
7. DeWeese FT, Akbari Z, Carline E: Pain control after knee arthroplasty: intraarticular versus epidural anesthesia. Clin Orthop Relat Res 2001; 392: 226-231.
8. Busch CA, Shore BJ, Bhandari R, et al: Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial. J Bone Joint Surg Am 2006; 88: 959-963.
9. Heard SO, Edwards WT, Ferrari D, et al: Analgesic effect of intraarticular bupivacaine or morphine after arthroscopic knee surgery: a randomized, prospective, double-blind study. Anesth Analg 1992; 74: 822-826.
10. Woolf CJ, Chong MS: Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993; 77: 362-379.
11. Stein C, Millan MJ, Shippenberg TS, et al: Peripheral opioid receptors mediating antinociception in inflammation: evidence for involvement of mu, delta, and kappa receptors. J Pharmacol Exp Ther 1989; 248: 1269-1275.
12. Tanaka N, Sakahashi H, Sato E, et al: The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis. J Arthroplasty 2001; 16: 306-311.
13. Joris JL, Dubner R, Hargreaves KM: Opioid analgesia at peripheral sites: a target for opioids released during stress and inflammation? Anesth Analg 1987; 66: 1277-1281.
14. Badner NH, Bourne RB, Rorabeck CH, et al: Intra-articular injection of bupivacaine in knee-replacement operations. Results of use for analgesia and for preemptive blockade. J Bone Joint Surg Am 1996; 78: 734-738.
15. Fu P, Li X, Wu H, et al: Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty-a randomized controlled trial. Knee 2009; 16: 280-284.
16. Vendittoli PA, Makinen P, Drolet P, et al: A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study. J Bone Joint Surg Am 2006; 88: 282-289.
17. Scott DB, Lee A, Fagan D, et al: Acute toxicity of ropivacaine compared with that of bupivacaine. Anesth Analg 1989; 69: 563-569.
18. Knudsen K, Beckman Suurküla M, Blomberg S, et al: Central nervous and cardiovascular effects of i.v. infusions of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth 1997; 78: 507-514.
19. Emanuelsson BM, Persson J, Sandin S, et al: Intraindividual and interindividual variability in the disposition of the local anesthetic ropivacaine in healthy subjects. Ther Drug Monit 1997; 19: 126-131.
20. Parvataneni HK, Shah VP, Howard H, et al: Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections: a prospective randomized study. J Arthroplasty 2007; 22(6 suppl 2): 33-38.
21. Holte K, Kehlet H: Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. J Am Coll Surg 2002; 195: 694-712.
22. Mirzai H, Tekin I, Alincak H: Perioperative use of corticosteroid and bupivacaine combination in lumbar disc surgery: a randomized controlled trial. Spine (Phila PA 1976) 2002; 27: 343-346.
23. Salerno A, Hermann R: Efficacy and safety of steroid use for postoperative pain relief. Update and review of the literature. J Bone Joint Surg Am 2006; 88: 1361-1372.
24. Wang JJ, Ho ST, Lee SC, et al: Intra-articular triamcinolone cetonide for pain control after arthroscopic knee surgery. Anesth Analg 1998; 87: 1113-1116.