A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

H.B. Fischer; C.J. Simanski; C. Sharp; F. Bonnet; F. Camu; E.A. Neugebauer; N. Rawal; G.P. Joshi; S.A. Schug; H. Kehlet

A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

H.B. Fischer, C.J. Simanski, C. Sharp, F. Bonnet, F. Camu, E.A. Neugebauer, N. Rawal, G.P. Joshi, S.A. Schug, H. Kehlet

219 Citations (Scopus)

Abstract

The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non-steroidal anti-inflammatory drugs or COX-2-selective inhibitors, plus intravenous strong opioids (high-intensity pain) or weak opioids (moderate- to low-intensity pain)
Udgivelsesdato: 2008/10

Original language	English
Journal	Anaesthesia International
Volume	63
Issue number	10
Pages (from-to)	1105-1123
Number of pages	18
ISSN	1754-9027
Publication status	Published - 2008

Cite this

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title = "A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty",

abstract = "The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non-steroidal anti-inflammatory drugs or COX-2-selective inhibitors, plus intravenous strong opioids (high-intensity pain) or weak opioids (moderate- to low-intensity pain) Udgivelsesdato: 2008/10",

author = "H.B. Fischer and C.J. Simanski and C. Sharp and F. Bonnet and F. Camu and E.A. Neugebauer and N. Rawal and G.P. Joshi and S.A. Schug and H. Kehlet",

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TY - JOUR

T1 - A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

AU - Fischer, H.B.

AU - Simanski, C.J.

AU - Sharp, C.

AU - Bonnet, F.

AU - Camu, F.

AU - Neugebauer, E.A.

AU - Rawal, N.

AU - Joshi, G.P.

AU - Schug, S.A.

AU - Kehlet, H.

PY - 2008

Y1 - 2008

N2 - The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non-steroidal anti-inflammatory drugs or COX-2-selective inhibitors, plus intravenous strong opioids (high-intensity pain) or weak opioids (moderate- to low-intensity pain) Udgivelsesdato: 2008/10

AB - The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non-steroidal anti-inflammatory drugs or COX-2-selective inhibitors, plus intravenous strong opioids (high-intensity pain) or weak opioids (moderate- to low-intensity pain) Udgivelsesdato: 2008/10

M3 - Journal article

SN - 1754-9027

VL - 63

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EP - 1123

JO - Anaesthesia International

JF - Anaesthesia International

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ER -