scholarly journals Analgesic efficacy of local infiltration analgesia in hip and knee arthroplasty: a systematic review

2014 ◽  
Vol 113 (3) ◽  
pp. 360-374 ◽  
Author(s):  
L.Ø. Andersen ◽  
H. Kehlet
Keyword(s):  
Systematic Review ◽  
Knee Arthroplasty ◽  
Analgesic Efficacy ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Hip And Knee Arthroplasty ◽  
Infiltration Analgesia

scholarly journals Fast Track Arthroplasty Using Local Infiltration Analgesia

2021 ◽  
Author(s):  
Timothy Cordingley ◽  
Daniel Chepurin ◽  
Ghada Younis ◽  
Islam Nassar ◽  
David Mitchell
Keyword(s):  
Knee Arthroplasty ◽  
Fast Track ◽  
Holistic Approach ◽  
Good Alternative ◽  
Early Mobilisation ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Hip And Knee Arthroplasty ◽  
And Function ◽  
Infiltration Analgesia

Fast track arthroplasty is a holistic approach to patients who undergo total hip and knee arthroplasty, a journey or care that begins with setting patient’s expectation, optimising medical status, using intraoperative local anaesthetic infiltra-tion, decreasing narcotics usage either in spinal or post-operative medication, discouraging usage of patient controlled analgesia or urinary catheters, encouraging day of operation mobilisation and optimising post-operative physiotherapy protocols. The use of local infiltration analgesia (LIA) is a good alternative compared to other traditional pain management techniques. The purpose of adoption of LIA technique is to provide comfort from the trauma associated with hip and knee arthroplasty particularly for the first 36 h post-operatively, during the time of high post-operative pain, to facilitate increased post-operative mobilisation and function. LIA is safe and effective to achieve good outcomes, early mobilisation and decreasing length of stay without jeopardising clinical outcomes. This chapter discusses LIA and its multimodal approach to analgesia, regional anaesthesia and early mobilisation that improves overall patient experience and satisfaction. The chapter discusses LIA techniques, wound catheter placement, and postoperative protocol to achieve fast track hip and knee arthroplasty.

Sign in / Sign up

Export Citation Format

Share Document