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• W1641018554 abstract "Postoperative pain is a major concern after orthopedic limb surgery. Moderate to severe at rest, it is exacerbated on movement and, particularly after hip and knee surgery, by severe reflex muscular spasms. This not only causes patient discomfort but also compromises the early physical therapy, the most influential factor for good postoperative rehabilitation and ambulation. Postoperative pain relief can be achieved by a number of techniques, such as IV PCA with morphine or epidural analgesia. However, IV PCA does not provide efficient analgesia on movement and is associated with a high incidence of side effects such as sedation and nausea-vomiting. Continuous epidural analgesia is more effective in relieving pain on movement, and could reduce thromboembolic complications and blood losses. However, these benefits are offset by catheter-related problems and side effects, such as urinary retention and arterial hypotension. Moreover, because of the risk of epidural hematoma, the concurrent use of low molecular weight heparin and epidural analgesia remains controversial. Over the last few years, there was a growing interest for continuous peripheral nerve blocks in such setting. As it will be demonstrated hereafter, in addition to the facilitation of surgery of long duration, they provide prolonged and efficient postoperative analgesia after orthopedic limb surgery." @default.
• W1641018554 created "2016-06-24" @default.
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• W1641018554 date "2006-01-01" @default.
• W1641018554 modified "2023-09-28" @default.
• W1641018554 title "Continuous peripheral nerve blocks and postoperative pain management." @default.
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