Clinical Procedure
Aliases:
Topic aliases are alternate phrasings for a particular topic.
TKR
TKJR
1
1
Lower limb dermatomes. By spinal root refl.in/q By peripheral nerve refl.in/1o
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May 18, 2011
Deep vein thrombosis (DVT) risk high (give LMWH).
Chest 2008;133;71S-109 refl.in/u
Chest 2008;133;71S-109 refl.in/u
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Pieter Peach
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May 18, 2011
General anaesthesia, multimodal analgesia, PCA
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Pieter Peach
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Nov 17, 2011
General anesthesia plus fascia iliaca block, single shot, to cover anterior knee pain for 6-12hrs. Regular oral analgesia plus postoperative PCA
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Nov 12, 2011
Good review article on regional anaesthetic options for TKR.
The Optimal Analgesic Block for Total Knee Arthroplasty Reg Anesth Pain Med 2016;41: 711–719 www.ncbi.nlm.nih.gov/pubm...
dx.doi.org/10.1097/AAP.00...
"Femoral triangle block guided by internal anatomical structures visible with ultrasonography or midway between the ASIS and the base of patella provides effective analgesia after medial parapatellar arthrotomy through the integument and the extra-articular retinaculum of the medial part of the knee. However, it does not alleviate pain deriving from the popliteal nerve branches innervating the intra-articular excision component of TKA. Supplemental blockade of the popliteal plexus by an obturator nerve block or local anesthetic infiltration of the posterior genicular capsule or local infiltration of the interspace between the popliteal artery and the capsule of the posterior knee is required."
The Optimal Analgesic Block for Total Knee Arthroplasty Reg Anesth Pain Med 2016;41: 711–719 www.ncbi.nlm.nih.gov/pubm...
dx.doi.org/10.1097/AAP.00...
"Femoral triangle block guided by internal anatomical structures visible with ultrasonography or midway between the ASIS and the base of patella provides effective analgesia after medial parapatellar arthrotomy through the integument and the extra-articular retinaculum of the medial part of the knee. However, it does not alleviate pain deriving from the popliteal nerve branches innervating the intra-articular excision component of TKA. Supplemental blockade of the popliteal plexus by an obturator nerve block or local anesthetic infiltration of the posterior genicular capsule or local infiltration of the interspace between the popliteal artery and the capsule of the posterior knee is required."
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Feb 02, 2017
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Sciatic nerve block can be used as rescue analgesia for posterior knee pain in recovery if femoral or fascia iliaca block is used. Supine position, lateral approach, with knee and hip flexion.
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Jul 23, 2011