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
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