The evolution of anesthetic management for total knee arthroplasty (TKA) patients: A hospital network experience

In the face of an ongoing opioid epidemic and an aging population, the utilization of a successful multimodal pain regimen in patients undergoing total knee arthroplasty (TKA) is vital. This study looks to explore the effect of different types of anesthesia in addition to a multimodal pain regimen o...

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Published in:Journal of orthopaedics 2024-12, Vol.58, p.10-15
Main Authors: Malige, Ajith, DeRogatis, Michael, Michaud, Allincia, Usewick, Michael, Ng-Pellegrino, Anna
Format: Article
Language:English
Subjects:
Adductor
Anesthesia
Arthroplasty
Knee
Spinal
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Michaud, Allincia
Usewick, Michael
Ng-Pellegrino, Anna
description In the face of an ongoing opioid epidemic and an aging population, the utilization of a successful multimodal pain regimen in patients undergoing total knee arthroplasty (TKA) is vital. This study looks to explore the effect of different types of anesthesia in addition to a multimodal pain regimen on post-operative outcomes after undergoing TKA. From January 2016 to December 2022, 783 charts of patients undergoing an elective TKA were reviewed. Patients undergoing primary, isolated, and unilateral TKA procedures were included. Patients were grouped into three study arms: 1) general anesthesia (GA); 2) general anesthesia with a local anesthetic adductor canal block (GA + ACB); 3) spinal anesthesia with local anesthetic adductor canal block (SA + ACB). Patients who received other anesthesia types or received ACB utilizing liposomal bupivacaine were excluded. Of the 420 included patients, 63 patients received GA, 148 GA + ACB, and 209 SA + ACB. Patients in the SA + ACB group had a shorter LOS compared to both the GA + ACB and GA groups (p 
doi_str_mv 10.1016/j.jor.2024.06.032
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subjects Adductor
Anesthesia
Arthroplasty
Knee
Spinal
title The evolution of anesthetic management for total knee arthroplasty (TKA) patients: A hospital network experience
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