Resumo

FLORES-VILLANUEVA, María Esther; TAMAYO-LIEVANOS, Alicia Elena  e  CORONA-BALCAZAR, Gloria María del Pilar. Recommendations in analgesia for total knee arthroplasty. Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.201-202.  Epub 13-Set-2021. ISSN 0484-7903.

Total knee arthroplasty (TKA) is a very frequent intervention, whose objective is to eliminate pain and functional disability in patients with knee osteoarthritis. It is one of the most successful orthopedic interventions although most patients have moderate to severe acute postoperative pain. Despite current medical knowledge, new analgesics and analgesic techniques, the acute postoperative pain in the TKA has not been satisfactorily controlled. The prevalence of chronic pain after TKA varies from 10 to 35%, sometimes it remains up to four months after TKA. The aim is to make recommendations in Mexico for the management of postoperative pain in patients undergoing TKA, both preoperatively, transoperatively and postoperatively. It is suggested: the use of pain measurement scales to stratify and optimize the treatment, health and patient staff education; as well as the use of multimodal analgesia; including pregabalin or gabapentin as preventive analgesia because it reduces postoperative pain and the requirement for opioids. Combination of regional techniques particularly the adductor canal block such as IPACK block are being evaluated with better results compared with femoral block. Based on these recommendations, we consider fundamental the management of postoperative pain of TKA, since the final satisfaction of the patient will be greatly improved (visithttp://www.painoutmexico.comto get the full version of the article and recommendations) .

Palavras-chave : Total knee arthroplasty; acute postoperative pain; patient controlled analgesia.