title: Contemporary pain management in total knee arthroplasty.
abstract: Pain management has become a very important part of postoperative care for total knee arthroplasty patients. Contemporary pain control has evolved from high-dose opioid in the past to state-of-the-art multimodal regimens. These include multiple non-opioid medication such as NSAIDs, COX-2 inhibitors, and gabapentinoid, and novel anesthetic techniques such as preemptive analgesia and ultrasound-guided peripheral nerve blocks. Another method which is gaining popularity is intraarticular injection of anesthetic cocktail during surgery. Pre-op education can also help patients cope with their pain better.
authors: Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
authors: Yutthana
authors: Y
authors: Khanasuk
authors: Srihatach
authors: S
authors: Ngarmukos
mesh_terms: D000698:Analgesia; D000779:Anesthetics, Local / Q000008:administration & dosage; D019645:Arthroplasty, Replacement, Knee; D006801:Humans; D007270:Injections, Intra-Articular; D009407:Nerve Block; D059408:Pain Management / Q000639:trends; D010149:Postoperative Pain / Q000628:therapy*
chemical_list: D000779:Anesthetics, Local