Regional and Multimodal Analgesia to Reduce Opioid Use After Total Joint Arthroplasty: A Narrative Review.

ABSTRACT:

Background

Elective total joint arthroplasty may be a gateway to long-term opioid use.

Questions/purpose

We sought to review the literature on multimodal and regional analgesia as a strategy to minimize perioperative opioid use and control pain in patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA).

Methods

We conducted a narrative review to assess the state of the evidence informing opioid-sparing analgesics for THA and TKA. A PubMed search was conducted for English-language articles published before April 2018. We preferentially included well-designed randomized controlled trials, systematic reviews, and meta-analyses. Where the highest levels of evidence were not yet apparent, we evaluated retrospective and/or observational studies.

SUBMITTER: Soffin EM 

PROVIDER: S-EPMC6384219 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature