| Literature DB >> 19576406 |
Raymond Tang1, Holly Evans, Alan Chaput, Christopher Kim.
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.Entities:
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Year: 2009 PMID: 19576406 DOI: 10.1016/j.ocl.2009.04.001
Source DB: PubMed Journal: Orthop Clin North Am ISSN: 0030-5898 Impact factor: 2.472