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The Efficacy of Regional Anesthesia Techniques to Control Postoperative Pain After Total Knee Arthroplasty

Otten, Cecilia; Dunn, Karen, S.

doi: 10.1097/NOR.0000000000000448
Original Articles

BACKGROUND: Choosing the most effective type of anesthesia for controlling postoperative pain is paramount for improving patient outcomes and patient satisfaction. Most often, the type of anesthesia selected is dependent on the duration and type of surgical procedure and anesthesiologist/surgeon preference. Using a combination of regional anesthesia techniques, however, remains the cornerstone of multimodal analgesia for postoperative pain management after total knee arthroplasty.

PURPOSE: The purpose of this study was to determine what regional anesthesia techniques and/or combinations of regional anesthesia techniques provided the best postoperative pain control in patients who had undergone a total knee arthroplasty.

METHODS: Retrospective chart review.

RESULTS: Patients who received a single-shot regional anesthetic reported significantly more postoperative opiate consumption and requested pain medication significantly sooner than patients who received multimodal techniques of regional analgesia.

CONCLUSION: This study found support for the use of multimodal analgesia techniques for optimum postoperative pain management after total knee arthroplasty.

Cecilia Otten, DNP, FNP-BC, Nurse Practitioner, Department of Orthopaedics, Oakland Regional Hospital, Southfield, MI.

Karen S. Dunn, PhD, RN, FGSA, Professor, Oakland University, School of Nursing, Rochester, MI.

The authors certify that they have no affiliations with or involvement in any organizations or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript. The authors have disclosed no conflicts of interest.

© 2018 National Association of Orthopaedic Nurses