Multicenter cohort-study of 15326 cases analyzing patient satisfaction and perioperative pain management: general, regional and combination anesthesia in knee arthroplasty

Scientific Reports
Felix GreimelAchim Benditz

Abstract

Numbers of knee replacement surgeries have been rising over the past years. After having ameliorated operation techniques and material, pain management and anesthetic methods have come into focus. All 15326 patients included had undergone primary knee arthroplasty within this multicenter cohort-study, conducted in 46 orthopedic departments. Parameters were evaluated on first postoperative day. Primary outcome values were pain levels (activity, minimum and maximum pain, and pain management satisfaction). Pain medication necessity was analyzed. Parameters were compared between the types of anesthesia used: general, regional and combination anesthesia. Pain scores and pain management satisfaction were significantly better in the groups of either spinal or peripheral anesthesia combined with general anesthesia (p < 0.001, respectively). Patients who received the combination of general and spinal anesthesia were associated with the lowest need for opioids (p < 0.001). The use of a combined general and spinal anesthesia as well as using a combination of general and peripheral anesthesia in knee arthroplasty was associated with a highly significant advantage to other anesthetic techniques regarding perioperative pain management in dai...Continue Reading

References

Sep 3, 2004·The Journal of Arthroplasty·Myron J SzczukowskiThomas S Sisca
Jan 24, 2006·Anesthesia and Analgesia·Christopher GonanoStephan C Kettner
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Mar 4, 2017·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Ebru CanakciYunus Guzel

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Citations

Sep 14, 2018·Journal of Perioperative Practice·Arijit Ghosh, Urjit Chatterji
Feb 27, 2021·Der Orthopäde·F GreimelG Maderbacher
May 1, 2021·Journal of Clinical Medicine·Lukas M Müller-Wirtz, Thomas Volk
Sep 19, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Venkatsaiakhil TirumalaYoung-Min Kwon
Aug 17, 2021·The Journal of Arthroplasty·Tyler E CalkinsPatrick C Toy

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Methods Mentioned

BETA
PCA
sedation

Software Mentioned

SPSS

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