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Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation

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Perioperative Medical Management for Total Joint Arthroplasty

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Abstract

Close cooperation between anesthesiologists and surgeons is essential for the application of effective analgesic protocols. A multimodal approach to pain management will start in the preoperative phase with thorough patient assessment and will continue through to the end of the rehabilitation pathway. The overarching aim is to prevent postoperative pain from becoming a source of patient dissatisfaction and a limitation to recovery of joint function.

In selected cases, preemptive analgesia begun under the anesthesiologist’s supervision or within the 48 h prior to surgery may improve response to analgesic therapy administered during the hospital stay. Placement of an epidural catheter or nerve blocks, together with intraoperative analgesic infiltration in the operating room, will allow for enhanced pain management over the following 48 postoperative hours.

Analgesic therapy should be monitored during hospitalization and at discharge to ensure optimal recovery of joint function during rehabilitation.

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Authors and Affiliations

  1. Department of Orthopaedics, “Città di Parma” Clinic, Piazza Maestri 5, Parma, 43100, Italy

    Paolo Adravanti, Giuseppe Calafiore & Aldo Ampollini

Authors
  1. Paolo Adravanti
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  2. Giuseppe Calafiore
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  3. Aldo Ampollini
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Corresponding author

Correspondence to Paolo Adravanti .

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Editors and Affiliations

  1. Humanitas Clinical and Research Center, Milan, Italy

    Andrea Baldini

  2. San Donato Hospital, Arezzo, Italy

    Patrizio Caldora

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Adravanti, P., Calafiore, G., Ampollini, A. (2015). Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation. In: Baldini, A., Caldora, P. (eds) Perioperative Medical Management for Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-07203-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-07203-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-07202-9

  • Online ISBN: 978-3-319-07203-6

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