Peri-operative pain management: Assuring a happy patient

摘要

Total knee arthroplasty (TKA) is one of the most commonly performed procedures in the United States. Poorly controlled pain and opioid side effects are associated with worse outcomes. As the prescription opioid epidemic progresses, strategies to provide adequate analgesia while minimizing opioid use are rapidly being developed. Recent efforts have focused on multimodal pain regimens, which combine several opioid and non-opioid classes of analgesic medications and interventions. In this review, we summarize the current best evidence for major components of MPRs as applied to TKA and provide a description of our practice and MPR for use in our practice.