Skip to main content
SpringerLink
Log in

Regional Analgesia for Knee Surgery

  • Reference work entry
  • First Online:
Minimally Invasive Surgery in Orthopedics

  • 115 Accesses

Abstract

Regional analgesia with peripheral nerve blocks (PNBs) has proven effective and superior over traditional analgesic techniques, such as systemic opioids and/or epidural blocks. Goals include eliminating bladder catheterization (and its inherent risk of infection), reducing opioid consumption and its consequent side effects, and facilitating early mobilization. Although rare, potential complications with PNBs include patient falls, nerve injury, and infections. This section will provide an overview of the most commonly used analgesic techniques for provocative knee surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 899.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Capdevila X, Coimbra C, Choquet O. Approaches to the lumbar plexus: success, risks, and outcome. Reg Anesth Pain Med. 2005;30:150–62.

    PubMed  Google Scholar 

  2. Ackerman DB, Trousdale RT, Bieber P, et al. Postoperative patient falls on an orthopedic inpatient unit. J Arthroplasty. 2010;25:10–4.

    Article  PubMed  Google Scholar 

  3. Hitcho EB, Krauss MJ, Birge S, et al. Characteristics and circumstances of falls in a hospital setting: a prospective analysis. J Gen Intern Med. 2004;19:732–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Chelly JE, Ghisi D, Fanelli A. Continuous peripheral nerve blocks in acute pain management. Br J Anaesth. 2010;105 Suppl 1:i86–96.

    Article  PubMed  Google Scholar 

  5. Memtsoudis SG, Dy CJ, Ma Y, et al. In-hospital patient falls after total joint arthroplasty: incidence, demographics, and risk factors in the United States. J Arthroplasty. 2012;27:823–8. e821.

    Article  PubMed  Google Scholar 

  6. Chelly JE, Greger J, Gebhard R, et al. Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. J Arthroplasty. 2001;16:436–45.

    Article  CAS  PubMed  Google Scholar 

  7. Chelly JE. How can we possibly prevent complications related to peripheral nerve blocks? Anesth Analg. 2001;93:1080–1.

    Article  CAS  PubMed  Google Scholar 

  8. Jacob AK, Mantilla CB, Sviggum HP, et al. Perioperative nerve injury after total knee arthroplasty: regional anesthesia risk during a 20-year cohort study. Anesthesiology. 2011;114:311–7.

    Article  PubMed  Google Scholar 

  9. Cuvillon P, Ripart J, Lalourcey L, et al. The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects. Anesth Analg. 2001;93:1045–9.

    Article  CAS  PubMed  Google Scholar 

  10. Cook P, Stevens J, Gaudron C. Comparing the effects of femoral nerve block versus femoral and sciatic nerve block on pain and opiate consumption after total knee arthroplasty. J Arthroplasty. 2003;18:583–6.

    Article  PubMed  Google Scholar 

  11. Ben-David B, Schmalenberger K, Chelly JE. Analgesia after total knee arthroplasty: is continuous sciatic blockade needed in addition to continuous femoral blockade? Anesth Analg. 2004;98:747–9. table of contents.

    Article  PubMed  Google Scholar 

  12. Specht K, Kjaersgaard-Andersen P, Kehlet H, et al. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement. Acta Orthop 2015;86:1–6.

    Google Scholar 

  13. Winther SB, Foss OA, Wik TS, et al. 1-year follow-up of 920 hip and knee arthroplasty patients after implementing fast-track. Acta Orthop. 2015;86:78–85.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Husted H. Fast-track hip and knee arthroplasty: clinical and organizational aspects. Acta Orthop Suppl. 2012;83:1–39.

    Article  PubMed  Google Scholar 

  15. Husted H, Otte KS, Kristensen BB, et al. Fast-track revision knee arthroplasty. A feasibility study. Acta Orthop. 2011;82:438–40.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Perlas A, Kirkham KR, Billing R, et al. The impact of analgesic modality on early ambulation following total knee arthroplasty. Reg Anesth Pain Med. 2013;38:334–9.

    Article  PubMed  Google Scholar 

  17. McCartney CJ, McLeod GA. Local infiltration analgesia for total knee arthroplasty. Br J Anaesth. 2011;107:487–9.

    Article  CAS  PubMed  Google Scholar 

  18. Awad IT, Sinclair C, Chen EW, et al. Anesthesia residents’ preference for learning interscalene brachial plexus block (ISBPB): traditional Winnie’s technique vs. ultrasound-guided technique. Stud Health Technol Inform. 2011;163:36–8.

    PubMed  Google Scholar 

  19. Brydone AS, Souvatzoglou R, Abbas M, et al. Ropivacaine plasma levels following high-dose local infiltration analgesia for total knee arthroplasty. Anaesthesia. 2015;70:784.

    Article  CAS  PubMed  Google Scholar 

  20. Andersen L, Kehlet H. Analgesic efficacy of local infiltration analgesia in hip and knee arthroplasty: a systematic review. Br J Anaesth. 2014;113:360–74.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. New Haven, CT, USA

    Richa Wardhan

  2. Pittsburgh, PA, USA

    Qing Liu

Authors
  1. Richa Wardhan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Qing Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Richa Wardhan .

Editor information

Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this entry

Cite this entry

Wardhan, R., Liu, Q. (2016). Regional Analgesia for Knee Surgery. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34109-5_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation