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Postoperativ smertebehandling ved total knaealloplastik
Engelsk titel: Postoperative analgesia following total knee arthroplasty Läs online Författare: Toftdahl K ; Nikolajsen L ; Söballe K ; Tönnesen E Språk: Dan Antal referenser: 40 Dokumenttyp: Översikt UI-nummer: 06051263

Tidskrift

Ugeskrift for Laeger 2006;168(20)1991-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Total knee arthroplasty (TKA) is associated with considerable postoperative pain which may be difficult to manage. This article describes advantages and disadvantages of the different analgesic techniques used for pain treatment after TKA, for example i.v. patient-controlled analgesia, epidural pain treatment, and peripheral nerve blocks (especially femoral and sciatic blocks). Randomised studies suggest that peripheral nerve blocks have the best effect and have fewest side effects. Intra-articular administration of analgesics is the most recently introduced technique.