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Tipps and Tricks - Anesthesiologic management in total knee replacement.

Bröking K

Research article (journal) | Peer reviewed

Abstract

Total knee replacement improves mobility and quality of life in gonarthrosis. In 2004 more than 60.000 total knee arthroplasties were performed in Germany. Because of severe postoperative pain which can interfere with functional outcome and impair hospital discharge, effective postoperative analgesia is not only important for patient satisfaction but also for economic reasons. For the 1990(th) years femoral nerve blocks have become more popular leads back to lower risk of complications and equal quality of analgesia compared to neuroaxial blockades. The prevention of "tourniquet pain" as well as treatment of hemodynamic and respiratory failure in the context of pulmonary embolic events and tourniquet deflation is part of anesthesiologic challenge.

Details about the publication

Journal: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie (AINS)
Volume: 46
Issue: 4
Page range: 234-239
Status: Published
Release year: 2011
Language in which the publication is written: German
Keywords: Osteoarthritis Knee; Intraoperative Complications; Tourniquets; Anesthesia; Anaphylaxis; Thromboembolism; Perioperative Care; Intraoperative Care; Anesthesia Conduction; Knee Prosthesis; Pain Postoperative; Postoperative Care; Postoperative Complications; Knee; Arthroplasty Replacement Knee; Nerve Block; Humans; Osteoarthritis Knee; Intraoperative Complications; Tourniquets; Anesthesia; Anaphylaxis; Thromboembolism; Perioperative Care; Intraoperative Care; Anesthesia Conduction; Knee Prosthesis; Pain Postoperative; Postoperative Care; Postoperative Complications; Knee; Arthroplasty Replacement Knee; Nerve Block; Humans

Authors from the University of Münster

Waurick, Katrin
Clinic for Anaesthesiology, Surgical Critical Care Medicine and Pain Therapy