APPROACHES TO POST-OPERATIVE PAIN RELIEF DURING TOTAL KNEE AND HIP REPLACEMENT

Abstract

The review describes modern approaches to pain relief in the patients after total knee and hip replacement. It covers the principles of multi-modal analgesia, benefits and drawbacks of such ways of pain relief as intravenous analgesia with opioids, spinal and epidural analgesia; it compares different variants of peripheral blocks, and puts some light on a relatively new method of local periarticular infiltration anesthesia.The authors agree that further research is needed to optimize post-operative pain relief after total knee and hip replacement.

Keywords

• post-operative pain relief
• hip arthroplasty
• knee arthroplasty
• epidural anesthesia
• spinal anesthesia
• infiltration anesthesia