Multimodal analgesia for hip arthroplasty.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 19576406.
- Also identified by DOI 10.1016/j.ocl.2009.04.001.
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Abstract
Multimodal analgesia incorporates the use of analgesic adjuncts with different mechanisms of action to enhance postoperative pain management. Acetaminophen, anti-inflammatories, and gabapentinoids provide effective analgesia while reducing opioid requirements and opioid-related side effects. Intrathecal morphine and periarticular local anesthetic infiltration further enhance dynamic analgesia and improve postoperative mobilization. Epidural analgesia, peripheral nerve blocks, tramadol, ketamine, and/or clonidine can be added for improved benefit in opioid-tolerant individuals.
Medical subject headings
- Analgesia
- Arthroplasty, Replacement, Hip
Anatomy
- hip