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In Search of the Perfect Balance: a Narrative Review of Analgesic Techniques for Total Knee Arthroplasty

  • Regional Anesthesia (CJL McCartney, Section Editor)
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Abstract

The quest for the perfect analgesic strategy after total knee arthroplasty must consider the requirements for good analgesia to facilitate rehabilitation and discharge, while minimizing unacceptable side effects such as motor block or sedation. The key to good analgesia uses a multimodal approach using, for example, peripheral nerve blockade, analgesics of different classes, and local infiltration analgesia. In this narrative review, we describe the evidence for these different components and suggest practical ways they may be combined.

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Author notes

  1. Laura de Neumann and Ariane Clairoux contributed equally to this work.

Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, Canada

    Laura de Neumann, Ariane Clairoux & Colin J. L. McCartney

  2. Department of Anesthesiology, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Canada

    Ariane Clairoux & Véronique Brulotte

Authors
  1. Laura de Neumann
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  2. Ariane Clairoux
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  3. Véronique Brulotte
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  4. Colin J. L. McCartney
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Corresponding author

Correspondence to Laura de Neumann.

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Conflict of Interest

Laura de Neumann declares that she has no conflict of interest.

Ariane Clairoux declares that she has no conflict of interest.

Véronique Brulotte declares that she has no conflict of interest.

Colin J.L. McCartney has received compensation from Teleflex Medical for service as a consultant.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Regional Anesthesia

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de Neumann, L., Clairoux, A., Brulotte, V. et al. In Search of the Perfect Balance: a Narrative Review of Analgesic Techniques for Total Knee Arthroplasty. Curr Anesthesiol Rep 7, 201–211 (2017). https://doi.org/10.1007/s40140-017-0218-5

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