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Pain Management Associated with Total Joint Arthroplasty: A Primer
Michelle J Lespasio1, A J Guarino2, Nipun Sodhi3
1Boston Medical Center, MA.
The Permanente Journal
|April 3, 2019
Summary
Total joint arthroplasty patients face significant pain, risking opioid addiction. Best practices emphasize individualized, multimodal pain management to minimize opioid use and combat the US opioid crisis.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Pharmacology
Background:
- Total joint arthroplasty (TJA) patients frequently experience moderate to severe pain.
- This pain increases the risk of opioid abuse and addiction.
- Effective pain management is crucial for TJA patient recovery and safety.
Purpose of the Study:
- To present a synopsis of current pain management strategies for TJA.
- To highlight best practices for perioperative pain control.
- To emphasize the importance of these strategies in addressing the opioid crisis.
Main Methods:
- Review of current literature on TJA pain management.
- Focus on multimodal and individualized perioperative approaches.
- Emphasis on opioid-sparing techniques and monitoring.
Main Results:
- Individualized multimodal strategies are the current best practice for TJA pain.
- These strategies involve lowest effective opioid doses for shortest durations.
- Close monitoring for adverse effects is essential.
Conclusions:
- Implementing evidence-based, multimodal pain management is vital for TJA patients.
- This approach helps mitigate opioid-related risks.
- Adoption of these strategies is key to combating the national opioid crisis.
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