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Periarticular Injection and Peripheral Nerve Blocks With Standard Agents.
Instr Course Lect ; 73: 125-130, 2024.
Article en En | MEDLINE | ID: mdl-38090892
ABSTRACT
The block of sensory nerves in the ipsilateral limb or locally is an integral part of the multimodal pain management protocol after primary total knee arthroplasty. The 2022 clinical practice guidelines published by the American Association of Hip and Knee Surgeons, the American Society of Regional Anesthesia and Pain Medicine, and the American Academy of Orthopaedic Surgeons describe various strengths of recommendations concerning the use of nerve blocks and periarticular injection. There is also experimental and clinical evidence to support a technique for the surgeon to perform both the periarticular injection and an intra-articular saphenous nerve block. High-dose bupivacaine injection has been shown to be effective and safe. The value of adductor canal block is currently uncertain. Future studies are needed concerning longer-lasting local anesthetic agents and techniques.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Anestesia de Conducción Límite: Humans Idioma: En Revista: Instr Course Lect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Anestesia de Conducción Límite: Humans Idioma: En Revista: Instr Course Lect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos