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Effects of Intravenous Patient-Controlled Analgesia with Morphine, Continuous Epidural Analgesia, and Continuous Three-in-One Block on Postoperative Pain and Knee Rehabilitation After Unilateral Total Knee Arthroplasty

Anesthesia & Analgesia · 1998 · Vol. 87(1) · pp. 88–92
François SingelynM. DeyaertDaniel JorisÉtienne PendevilleJ. M. Gouverneur

Abstract

In this study, we determined that, after total knee arthroplasty, loco-regional analgesic techniques (epidural analgesia or continuous 3-in-1 block) provide better pain relief and faster postoperative knee rehabilitation than i.v. patient-controlled analgesia with morphine. Because it causes fewer side effects than epidural analgesia, continuous 3-in-1 block is the technique of choice.

Anesthesia and Pain ManagementSynthesis of β-Lactam CompoundsPhosphorus compounds and reactionsMedicineAnesthesiaAnalgesicMorphineRehabilitationTotal knee arthroplastyArthroplastySurgeryPhysical therapy

MeSH terms

AdultAgedAnalgesics, OpioidFemaleFemoral NerveHumansKnee JointMaleMiddle AgedMorphineNerve BlockPain MeasurementPain, PostoperativePostoperative PainAnalgesia, Epidural
Citations
657
FWCI
12.04
field-weighted impact
References
23
Percentile
99%
vs. same field & year
Citations per year
References
The Inguinal Paravascular Technic of Lumbar Plexus Anesthesia
Anesthesia & Analgesia · 1973 · 475 citations
SURGICAL STRESS: THE ROLE OF PAIN AND ANALGESIA
British Journal of Anaesthesia · 1989 · 550 citations
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Effects of Intravenous Patient-Controlled Analgesia with Morphine, Continuous Epidural Analgesia, and Continuous Three-in-One Block on Postoperative Pain and Knee Rehabilitation After Unilateral Total Knee Arthroplasty · Scinovex