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Multimodal Analgesia for Hip Arthroplasty

2009; Elsevier BV; Volume: 40; Issue: 3 Linguagem: Inglês

10.1016/j.ocl.2009.04.001

1558-1373

Raymond Tang, Holly Evans, Alan Chaput, Christopher Kim,

Opioid Use Disorder Treatment

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.