The periarticular vasoconstrictor infiltration technique (PVI) for total knee and hip arthroplasty. A brief description of a new technique complemented by audiovisual presentations

•TKA and TKA is often associated with postoperative pain affecting recovery and rehabilitation.•Avoiding the use of tourniquet may improve postoperative recovery after total knee arthroplasty.•Bleeding is an important consideration after TKA and THA since there are concerns about the side effects an...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2024-02, Vol.92, p.111284-111284, Article 111284
Main Authors: Roqués-Escolar, Vicente, Martínez-Garrigos, Paula
Format: Article
Language:English
Subjects:
Analgesia - methods
Analgesics
Analgesics, Opioid
Anesthesia
Anesthetics, Local
Arthritis
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - methods
Blood pressure
Fast track in orthopaedic surgery
Humans
Ischemia
Joint surgery
Knee Joint
Local infiltration analgesia
Orthopedics
Pain management
Pain, Postoperative - etiology
Pain, Postoperative - prevention & control
Patient satisfaction
Periarticular vasoconstrictor infiltration
Postoperative period
Surgical outcomes
Total knee and hip arthroplasty analgesia
Tumescent anaesthesia
Ultrasonic imaging
Vasoconstrictor Agents
Veins & arteries
Walant
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Description
Summary:•TKA and TKA is often associated with postoperative pain affecting recovery and rehabilitation.•Avoiding the use of tourniquet may improve postoperative recovery after total knee arthroplasty.•Bleeding is an important consideration after TKA and THA since there are concerns about the side effects and social costs of transfusions.•The efficient management of pain and bleeding is of paramount importance.•Tumescent and walant anaesthesia have been described to reduce bleeding during surgery.•PVI technique provides a satisfactory bloodless surgical field and comparable postoperative analgesia to LIA in TKA and THA.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2023.111284