LOCAL INFILTRATION TECHNIQUE IN UNILATERAL TOTAL KNEE REPLACEMENT

2016-09-12T01-57-19Z
Source: Indo American Journal of Pharmaceutical Research
Ardeshna A Nishita, Bashwanth Pasupulati, Dr. Basavaraj CM, Dr. Vinay Pawar.
INTRODUCTION: The most effective treatment for osteoarthritis is TKR and THR but sizeable patient experience chronic pain causing discomfort. There has been shift in the usage of local anesthesia technique (LIA) over the general anesthesia in orthopedic surgeries mainly TKR. Pain control is important post surgery which includes opioid use, and other analgesics. LIA technique has taken increased focus due to early rehabilitation in patients with TKR and THR. METHOD: It was prospective, non-interventional and observational study. RESULTS: Outcomes were assessed with regards to the pain score and analgesic use post LIA. Patients with this technique experienced early mobilization and better pain control after surgery. There was decreased in the opioid usage and increased patient satisfaction. Break-through pain was also found to have decreased with LIA comparatively with only analgesic usage. CONCLUSION: The use of preoperative patient education as an important component in their fast-track recovery program. LIA protocol can achieve meaningful results and can be easily implemented both in tertiary care centers & community hospitals.


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