[Pain concepts in fast-track endoprosthetics]

Area of Science:

• Orthopedic Surgery
• Anesthesiology
• Pain Management

Background:

• Effective pain management is crucial for fast-track endoprosthetics.
• Opioid-sparing strategies are preferred due to side effects and fall risks.
• Multimodal pain concepts, including decentralized analgesia and local infiltration anesthesia (LIA), are suitable.

Purpose of the Study:

• To evaluate the efficacy and safety of LIA in endoprosthetic surgery.
• To compare LIA with traditional catheter-based analgesia.
• To highlight LIA's role in accelerated patient mobilization.

Main Methods:

• Review of existing literature on LIA protocols in endoprosthetics.
• Comparison of LIA outcomes with epidural and regional catheters.
• Analysis of LIA's impact on postoperative pain and mobilization.

Main Results:

• LIA demonstrates comparable or superior results to catheters in knee endoprosthetics.
• LIA is a safe and effective procedure for postoperative analgesia.
• LIA facilitates accelerated patient mobilization.

Conclusions:

• LIA is an established and effective component of fast-track endoprosthetic protocols.
• LIA offers significant advantages over catheter-based methods for pain management and mobilization.
• Further research on adjunctive therapies like glucocorticoids with LIA is warranted.