Book chapter
Local Infiltration Analgesia for Orthopedic Joint Surgery
Complications of Regional Anesthesia, pp.381-398
Springer International Publishing
05/04/2017
DOI: 10.1007/978-3-319-49386-2_24
Abstract
Local infiltration analgesia with ropivacaine, ketorolac, and epinephrine provides excellent analgesia following total knee joint arthroplasty.Local infiltration analgesia following THA provides analgesic benefit in the early part of postoperative period but may not offer any additional benefits after the first 6 h, over and above what is provided by oral multimodal analgesiaThe motor sparing effect of LIA translates into better range of motion and early physiotherapy but does not correlate with hospital length of stay or decreased patient falls.Continuous catheter techniques for periarticular and intra-articular infusion offer analgesic benefits over placebo and single injections but at the same time increase the risk of infections.LIA techniques for arthroscopic surgeries may increase the risk of glenohumeral chondrolysis, and hence continuous intra-articular infusions into joints with intact articular cartilage are discouraged.
Details
- Title: Subtitle
- Local Infiltration Analgesia for Orthopedic Joint Surgery
- Creators
- Sugantha Ganapathy - Western UniversityJames L. Howard - Western UniversityRakesh V. Sondekoppam - University of Alberta
- Resource Type
- Book chapter
- Publication Details
- Complications of Regional Anesthesia, pp.381-398
- DOI
- 10.1007/978-3-319-49386-2_24
- Publisher
- Springer International Publishing; Cham
- Language
- English
- Date published
- 05/04/2017
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296143602771
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