Regional anesthesia for rapid recovery after orthopedic surgery

被引:0
|
作者
Kim, Min Kyoung [1 ,2 ]
Kim, Jin Sun [3 ]
Kang, Hyun [1 ,4 ]
机构
[1] Chung Ang Univ, Coll Med, Dept Anesthesiol & Pain Med, Seoul, South Korea
[2] Chung Ang Univ, Gwangmyeong Hosp, Dept Anesthesiol & Pain Med, Gwangmyeong, South Korea
[3] Ulsan Univ, Gangneung Asan Hosp, Coll Med, Dept Anesthesiol & Pain Med, Kangnung, South Korea
[4] Chung Ang Univ Hosp, Dept Anesthesiol & Pain Med, Seoul, South Korea
来源
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION | 2025年 / 68卷 / 01期
关键词
Analgesia; Enhanced recovery after surgery; Orthopedic procedures; Pain management; Regional anesthesia; LOCAL INFILTRATION ANALGESIA; TOTAL HIP-ARTHROPLASTY; ENHANCED RECOVERY; PAIN MANAGEMENT; NERVE BLOCK; KNEE; REPLACEMENT; SINGLE;
D O I
10.5124/jkma.2025.68.1.20
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Orthopedic surgery is becoming increasingly common, particularly among older adults, due to population aging and the rising incidence of degenerative conditions. Older patients frequently have multiple comorbidities, which elevate the risk of surgical complications. Effective pain management is crucial in facilitating recovery and reducing the likelihood of postoperative complications. This review examines the role of regional anesthesia in optimizing recovery outcomes for orthopedic patients. Current Concepts: Regional anesthesia significantly reduces opioid consumption, which in turn mitigates side effects such as nausea, vomiting, respiratory depression, and urinary retention. It also promotes early mobilization, which is crucial for functional recovery, and helps prevent complications such as deep vein thrombosis and muscle atrophy. Advanced techniques like local infiltration analgesia and motor-sparing blocks offer effective pain relief while preserving muscle strength. This not only facilitates faster rehabilitation but also reduces the length of hospital stays. These advantages underscore the importance of regional anesthesia in improving surgical outcomes and expediting recovery. Discussion and Conclusion: Regional anesthesia is crucial in improving recovery after orthopedic surgery by providing effective pain management, facilitating early mobilization, and minimizing complications. It is essential to customize the anesthetic approach based on the specific surgical procedure and the patient's overall health to achieve optimal outcomes.
引用
收藏
页码:20 / 28
页数:9
相关论文
共 50 条
  • [1] Regional anesthesia and enhanced recovery after surgery
    Carli, F.
    Clemente, A.
    MINERVA ANESTESIOLOGICA, 2014, 80 (11) : 1228 - 1233
  • [2] Regional anesthesia for cardiac surgery
    Caruso, Thomas J.
    Lawrence, Kiley
    Tsui, Ban C. H.
    CURRENT OPINION IN ANESTHESIOLOGY, 2019, 32 (05) : 674 - 682
  • [3] The effect of regional anesthesia blocks on post-operative pain after ambulatory orthopedic trauma surgery
    Douleh, Diana G.
    Chambers, Lori
    Parry, Joshua A.
    EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY, 2022, 32 (06) : 1201 - 1206
  • [4] Functional outcome after major orthopedic surgery: the role of regional anesthesia redefined
    Bernucci, Francisca
    Carli, Francesco
    CURRENT OPINION IN ANESTHESIOLOGY, 2012, 25 (05) : 621 - 628
  • [5] The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
    Doo, A. Ram
    Kang, Sehrin
    Kim, Ye Sull
    Lee, Tae-Won
    Lee, Jun-Rae
    Kim, Dong-Chan
    KOREAN JOURNAL OF ANESTHESIOLOGY, 2020, 73 (01) : 58 - 66
  • [6] The effect of regional anesthesia blocks on post-operative pain after ambulatory orthopedic trauma surgery
    Diana G. Douleh
    Lori Chambers
    Joshua A. Parry
    European Journal of Orthopaedic Surgery & Traumatology, 2022, 32 : 1201 - 1206
  • [7] Regional anesthesia and enhanced recovery after colorectal surgery: are we asking the right questions?
    Mariano, Edward R.
    McCartney, Colin J. L.
    REGIONAL ANESTHESIA AND PAIN MEDICINE, 2022, 47 (05) : 279 - 281
  • [8] Role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) protocols
    Mancel, Leander
    Van Loon, Kathleen
    Lopez, Ana M.
    CURRENT OPINION IN ANESTHESIOLOGY, 2021, 34 (05) : 616 - 625
  • [9] Regional anesthesia for cardiothoracic surgery
    Gams, Polona
    Ksela, Jus
    Sostaric, Maja
    SIGNA VITAE, 2023, 19 (03) : 21 - 29
  • [10] Comparing quality of recovery and satisfaction between spinal anesthesia and nerve block in orthopedic below-knee surgery: A prospective controlled trial
    Yoo, Seon Woo
    Kim, Taehoon
    Seo, Jongmin
    Oh, Hyunji
    Lee, Jun Ho
    MEDICINE, 2024, 103 (14)