Multimodal analgesia for hip arthroplasty.
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.
Tang
Raymond
R
Department of Anesthesiology, The Ottawa Hospital Civic Campus and University of Ottawa, 1053 Carling Avenue, Ottawa, Ontario, Canada.
Evans
Holly
H
Chaput
Alan
A
Kim
Christopher
C
D000588:Amines / Q000627:therapeutic use; D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D003131:Combined Modality Therapy; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use; D052246:Cyclooxygenase 2 Inhibitors / Q000627:therapeutic use; D000077206:Gabapentin; D006801:Humans; D010149:Postoperative Pain / Q000628:therapy*; D000069583:Pregabalin; D005680:gamma-Aminobutyric Acid / Q000031:analogs & derivatives / Q000627:therapeutic use
D000588:Amines; D000700:Analgesics; D000779:Anesthetics, Local; D003509:Cyclohexanecarboxylic Acids; D052246:Cyclooxygenase 2 Inhibitors; D000069583:Pregabalin; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin