Russo Matthew W, Parks Nancy L, Hamilton William G
Research Department, Anderson Orthopaedic Research Institute, PO Box 7088, Alexandria, VA 22307, USA.
Research Department, Anderson Orthopaedic Research Institute, PO Box 7088, Alexandria, VA 22307, USA.
Orthop Clin North Am. 2017 Oct;48(4):401-405. doi: 10.1016/j.ocl.2017.06.006.
Multimodal pain management has become the standard of care following total hip and knee replacement. The advantages include decreasing opioid consumption and its associated side effects, facilitating earlier mobilization, and faster return to function. An effective rapid recovery protocol includes the use of multiple different types of medications targeting each area of the pain pathway, preemptive analgesia, regional nerve blockade, and local infiltration analgesia.
多模式疼痛管理已成为全髋关节和膝关节置换术后的护理标准。其优点包括减少阿片类药物的使用及其相关副作用、促进早期活动以及更快恢复功能。有效的快速康复方案包括使用针对疼痛传导通路各个区域的多种不同类型药物、超前镇痛、区域神经阻滞和局部浸润镇痛。
