Even a successful total knee replacement surgery involves a long and painful post-operative recovery period. However, according to a recent feature from Med Page Today, this might not always be the case.
This article discusses a new medical protocol designed to do away with motor nerve blocks and reduce the use of opioid (narcotic) painkillers following surgery. With traditional protocols, doctors gave patients a broad-spectrum analgesic agent before surgery. This included a nerve block consisting of ropivacaine, as well as narcotic pain control drugs such as OyxContin, in patients who are younger than 80 years of age. In older patients, pregabalin was used along with aspirin, due to complications opioids can cause to elderly patients. During surgery, doctors administer additional medications, including tranexamic acid, multiple times.
Doctors will then administer a morphine-based pain killer through an IV. A femoral nerve catheter is used as nerve block and continued the day following surgery, along with a whole host of other medications.
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