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arthoplasty knee analgesia

Devanand Mangar, Rachel A Karlnoski, Collin J Sprenker, Katheryne L Downes, Narrene Taffe, Robert Wainwright, Kenneth Gustke, Thomas L Bernasek, Enrico Camporesi
PURPOSE: Despite providing adequate pain relief, a femoral nerve block can induce postoperative muscle weakness after total knee arthoplasty (TKA). Fentanyl has been shown to have peripheral effects but has not been used as a perineural infusate alone after TKA. METHODS: Sixty patients scheduled for TKA were randomized to one of three blinded groups: a continuous 24 h infusion of either fentanyl 3 μg/ml, ropivacaine 0.1%, or 0.9% normal saline through a femoral nerve sheath catheter at 10 ml/h...
April 2014: Journal of Anesthesia
Christopher M Duncan, Kirsten Hall Long, David O Warner, James R Hebl
BACKGROUND AND OBJECTIVES: Total knee and total hip arthoplasty (THA) are 2 of the most common surgical procedures performed in the United States and represent the greatest single Medicare procedural expenditure. This study was designed to evaluate the economic impact of implementing a multimodal analgesic regimen (Total Joint Regional Anesthesia [TJRA] Clinical Pathway) on the estimated direct medical costs of patients undergoing lower extremity joint replacement surgery. METHODS: An economic cost comparison was performed on Mayo Clinic patients (n = 100) undergoing traditional total knee or total hip arthroplasty using the TJRA Clinical Pathway...
July 2009: Regional Anesthesia and Pain Medicine
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