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0
votes
1answer
31 views

Failure of intra-articular local anaesthesia after arthroscopy

The orthopaedic surgeons I work with all use intra-articular bupivacaine (+/- morphine or magnesium) after their knee arthroscopies. This usually works well, and I give no opioid, …
2
votes
2answers
80 views

Post-op analgesia for fractured neck of femur?

What is the best way to manage pain and provide analgesia after repair (dynamic hip screw or hemi-arthroplasty) of a fractured neck of femur? I ask because after some debate at my …
9
votes
3answers
57 views

Compartment syndrome and regional anaesthesia: where’s the evidence?

I had just finished performing a femoral nerve block (awake, ultrasound guided, 25 mL 0.375% ropivacaine) pre-induction for IM nailing of a fractured tibial shaft, when the orthope …
3
votes
3answers
82 views

Is there any proven benefit for performing total hip arthroplasty under spinal or epidural anesthesia?

At my centre we routinely perform all total hip arthroplasties under spinal anesthesia, and believe very strongly that this improves patient management intra-operatively as well as …
1
vote
3answers
65 views

How do you manage the pain when an interscalene block wears off?

An orthopedic surgeon that I work with has complained about the pain management of his total shoulder replacement patients. I always put a single-shot interscalene block in and the …
3
votes
0answers
29 views

Diclofenac and fracture non-union — is there any evidence?

Orthopaedic surgeons at my institution are very opposed to the use of NSAIDs in general and diclofenac specifically, in the post-operative period following internal and external fi …
1
vote
0answers
23 views

Is it worth performing femoral nerve blocks for total knee replacements?

How beneficial is a single shot femoral nerve block for a patient undergoing a total knee replacement? They're quick and easy to do and fairly low risk but do the patients benefit …
0
votes
0answers
6 views

What is the role of pregabalin in preventing chronic pain?

I read an article in this month's Anesthesia & Analgesia that demonstrated a reduction in chronic pain after total knee arthroplasty after pregabalin use in the perioperative p …