11 de outubro de 2012

Artigo recomendado: Regional Anesthesia for Total Joint Arthroplasty

David A. Provenzano, Eugene R. Viscusi

Anesthesiology News Special Edition - October 2012 - P.59-64

Patients undergoing total joint arthroplasty (TJA) experience high levels of pain after surgery that often interferes with their functional recovery and sleep patterns in the postoperative period. In one study, patients undergoing total hip arthroplasty (THA) and total Knee arthroplasty (TKA) reported mean worst pain severities of 7.6 and 8.1 on a 10-point scale, respectively. Numerous techniques have been developed for anesthesia and analgesia in a effort optimize perioperative pain control, patient satisfaction, and functional recovery. Because clinician preference strongly influences patient selection and decision making, anesthesiologists and orthopedic surgeons must understand the current literature and level of evidence for each technique. This article provides and updated review of the evidence for regional anesthesia for TJA surgery with an emphasis on the risks and benefits of each technique for intraoperative anesthesia and postoperative analgesia.

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