Preview

Вестник анестезиологии и реаниматологии

Расширенный поиск

ПОДХОДЫ К ПОСЛЕОПЕРАЦИОННОМУ ОБЕЗБОЛИВАНИЮ ПРИ ОПЕРАЦИЯХ ТОТАЛЬНОГО ЭНДОПРОТЕЗИРОВАНИЯ КОЛЕННОГО И ТАЗОБЕДРЕННОГО СУСТАВОВ

https://doi.org/10.21292/2078-5658-2018-15-4-76-85

Полный текст:

Аннотация

В обзоре представлены современные подходы к обезболиванию пациентов после операций тотального эндопротезирования коленного и тазобедренного суставов. Затронуты принципы мультимодальной анальгезии, рассмотрены преимущества и недостатки таких способов обезболивания, как внутривенная анальгезия опиоидами, спинальная и эпидуральная анальгезия, проведено сравнение различных вариантов периферических блокад, а также освещен сравнительно новый метод местной периартикулярной инфильтрационной анестезии.

Авторы разделяют мнение о необходимости дальнейших исследований, направленных на оптимизацию послеоперационного обезболивания после тотального эндопротезирования коленного и тазобедренного суставов.

Об авторах

А. В. Курганский
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова».
Россия
Курганский Александр Викторович врач отделения анестезиологии-реанимации № 2 научно-клинического центра анестезиологии и реаниматологии.

197022, Санкт-Петербург, ул. Льва Толстого, д. 6‒8.


К. Н. Храпов
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова».
Россия

Храпов Кирилл Николаевич доктор медицинских наук, профессор кафедры анестезиологии и реаниматологии, руководитель отдела анестезиологии научно-клинического центра анестезиологии и реаниматологии. 

197022, Санкт-Петербург, ул. Льва Толстого, д. 6‒8.



Список литературы

1. Борисов Д. Б., Киров М. Ю. Эндопротезирование тазобедренного и коленного суставов: эпидемиологические аспекты и влияние на качество жизни // Экология человека. – 2013. – № 8. – С. 52–57.

2. Тимербаев В. Х., Генов П. Г., Смирнова О. В. Интратекальное введение опиоидов – ситуация в мире и в России // Анестезиол. и реаниматол. – 2015. – T. 60, № 3. – C. 70–75.

3. Andersen K. V., Nikolajsen L., Daugaard H. et al. Local infiltration analgesia is not improved by postoperative intra-articular bolus injections for pain after total hip arthroplasty: A randomized, double-blind, placebo-controlled study with 80 patients // Acta Orthopaedica. – 2015. – Vol. 86, № 6. – P. 647–653.

4. Austin M. S., Klein G. R. World Clinics: Orthopedics: Current Controversies in Joint Replacement. – JP Medical Ltd., 2014. – 195 p.

5. Azar F. M., Calandruccio J. H., Grear Benjamin J. et al. Perioperative Pain Management, An Issue of Orthopedic Clinics. – Elsevier Health Sciences, 2017. – 190 p.

6. Baldini A., Caldora P. Perioperative medical management for total joint arthroplasty: how to control hemostasis, pain and infection. – Springer, 2014. – 325 p.

7. Carli F., Clemente A., Asenjo J. F. et al. Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block // BJA: Brit. J. Anaesthesia. – 2010. – Vol. 105, № 2. – P. 185–195.

8. Carvalho R., Calixto L., Bragança J. Effect of a single shot sciatic nerve block combined with a continuous femoral block on pain scores after knee arthroplasty. A randomized controlled trial // Open J. Anesthesiology. – 2012. – Vol. 2, № 4. – P. 107–112.

9. Choi P., Bhandari M., Scott J., Douketis J. D. Epidural analgesia for pain relief following hip or knee replacement. Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD003071. DOI: 10.1002/14651858.CD003071

10. Christensen C. P., Jacobs C. A., Jennings H. R. Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial // J. Bone Joint Surg. Am. – 2009. – Vol. 91, № 11. – P. 2550–2555.

11. Clarke H. D., Timm V. L., Goldberg B. R., Hattrup S. J. Preoperative patient education reduces in-hospital falls after total knee arthroplasty // Clin. Orthop. Related Research. – 2012. – Vol. 470, № 1. – P. 244–249.

12. Cuvillon P., Ripart J., Lalourcey L. et al. The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects // Anest. Analg. – 2001. – Vol. 93, № 4. – P. 1045–1049.

13. Dalury D., Lieberman J., MacDonald S. Current and innovative pain management techniques in total knee arthroplasty // J. Bone Joint Surgery. – 2011. – Vol. 93, № 20. – P. 1938–1943.

14. Diwan S. Fascia iliaca block – an anatomical and technical description // J. Anaest. Crit. Care Case Reports. – 2015. – Vol. 1, № 1. – P. 27–30.

15. Feng J. E., Novikov D., Anoushiravani A. A., Schwarzkopf R. Total knee arthroplasty: improving outcomes with a multidisciplinary approach // J. Multidiscip. Healthcare. – 2018. – Vol. 11. – P. 63–73.

16. Fischer H. B., Simanski C. J., Sharp C. et al. A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty // Anaesthesia. 2008. – Vol. 63. – P. 1105–1123.

17. Grape S., Kirkham K. R., Baeriswyl M., Albrecht E. The analgesic efficacy of sciatic nerve block in addition to femoral nerve block in patients undergoing total knee arthroplasty: a systematic review and meta-analysis // Anaesthesia. – 2016. – Vol. 71. – P. 1198–1209.

18. Grass J. A. Patient-controlled analgesia // Anesth. Analg. – 2005. – Vol. 101. – Р. S44–S61.

19. Hadzic A. Hadzic's peripheral nerve blocks and anatomy for ultrasound-guided regional anesthesia, 2nd edition. – The McGraw-Hill Companies, 2012. – 721 p.

20. Hadzic A. Hadzic's textbook of regional anesthesia and acute pain management. 2nd edition. – NY: McGraw-Hill Education, 2017. – 1535 p.

21. Halawi M. J., Grant S. A., Bolognesi M. P. Multimodal analgesia for total joint arthroplasty // Orthopedics. – 2015. – Vol. 38, № 7.– P. 616–625.

22. Heeremans E. H., Pape N., Koorevaar R. C., Cobben J. Single shot femoral nerve block offers superior postoperative mobilisation at an equal analgesia level after total knee arthroplasty compared to continuous nerve block using a catheter // Eur. J. Anaesthesiology. – 2012. – Vol. 29. – P. 129.

23. Hogan M. V., Grant R. E., Lee L. Jr. Analgesia for total hip and knee arthroplasty: A review of lumbar plexus, femoral, and sciatic nerve blocks // Am. J. Orthop. – 2009. – Vol. 38, № 8. – P. 129–133.

24. http://www.who.int/medicines/areas/priority_medicines/BP6_12Osteo.pdf

25. Ilfeld B. M., Madison S. J. The Sciatic Nerve and Knee Arthroplasty. To Block, or Not to Block. What Is the Question? // Region. Anest. Pain Med. – 2011. – Vol. 36, № 5. – P. 421–423.

26. Jenstrup M. T., Jaeger P., Lund J. et al. Effects of adductor-canal-blockade on pain and ambulation after total knee arthroplasty: a randomized study // Acta Anaesthesiol Scand. – 2012. – Vol. 56. – P. 357–364.

27. Joshi G., Gandhi K., Shah N. et al. Peripheral nerve blocks in the management of postoperative pain: challenges and opportunities // J. Clin. Anesthesia. – 2016. – Vol. 35. – P. 524–529

28. Kao S., Lee H., Cheng C. et al. Pain control after total knee arthroplasty: Comparing intra-articular local anesthetic injection with femoral nerve block // BioMed. Research International. – 2015. – Vol. 2015. Article ID 649140, 6 pages. Doi:10.1155/2015/649140

29. Karnawat R., Gupta M., Suthar O.P. Adductor canal block for post-operative pain relief in knee surgeries: A review article // J. Anesthesia & Clinical Research. – 2015. – Vol. 6. – P. 578.

30. Keijsers R., Delft R., Bekerom M., Vries D. Local infiltration analgesia following total knee arthroplasty: effect on post-operative pain and opioid consumption – a meta-analysis // Knee Surgery, Sports Traumatology, Arthroscopy. – 2015. – Vol. 23, № 7. – P. 1956.

31. Kelley T. C., Adams M. J., Mulliken B. D., Dalury D. F. Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: a randomized, double-blinded study // J. Arthroplasty. – 2013. – Vol. 28. – P. 1274–1277.

32. Kerr D., Kohan L. Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery. A case study of 325 patients // Acta Orthopaedica. – 2008. – Vol. 79, № 2. – P. 174–183.

33. Lee R. M., Lim Tey J. B., Chua N. H. L. Postoperative pain control for total knee arthroplasty: Continuous femoral nerve block versus intravenous patient controlled analgesia // Anesthesiology and Pain Medicine. – 2012. – Vol. 1, № 4. – P. 239–242.

34. Lee S. Y. Comprehensive analysis of pain management after total knee arthroplasty // Knee Surgery & Related Research. – 2017. –Vol. 29, № 2. – P. 80–86.

35. Lenart M. J., Wong K., Gupta R. K. et al. The impact of peripheral nerve techniques on hospital stay following major orthopedic surgery // Pain Med. – 2012. – Vol. 13, № 6. – P. 828–834.

36. Matsen L. K., Chen A. F. Spinal anesthesia: the new gold standard for total joint arthroplasty? //Ann. Translational Med. – 2015. – Vol. 3, № 12. – P. 162.

37. McCarthy D., Iohom G. Local infiltration analgesia for postoperative pain control following total hip arthroplasty: A systematic review // Anesthesiol. Research Practice. – 2012. – Vol. 2012, Article ID 709531, 9 pages. Doi:10.1155/2012/709531

38. Mcdonald S., Page M. J., Beringer K. et al. Preoperative education for hip or knee replacement (review) // Cochrane Database Syst Rev. 2014. – May 13;(5):CD003526. doi: 10.1002/14651858.CD003526.pub3.

39. Moulton L. S., Evans P. A., Starks I. et al. Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome // Internat. Orthopaedics. – 2015. – Vol. 39. – P. 1483–1486.

40. Place K., Scott N. B. Enhanced recovery for lower limb arthroplasty // Continuing Education in Anaesthesia, Critical Care and Pain. – 2014. – Vol. 15. – P. 95–99.

41. Pogatzki-Zahn E. M., Zahn P. K. From preemptive to preventive analgesia // Curr. Opin. Anaesthesiol. – 2006. – Vol. 19. – P. 551–555.

42. Rathmell J. P., Pin C. A., Taylor R. et al. Intrathecal morphine for postoperative analgesia: A randomized, controlled, dose-range study after hip and knee arthroplasty // Anest. Analg. – 2003. – Vol. 97. – P. 1452–1457.

43. Rawal N. Epidural Technique for post operative pain. Gold standard no more? // Regional Anesthesia and Pain Medicine. – 2012. – Vol. 37, № 3. – P. 310–317.

44. Ren L., Peng L., Qin P., Min S. Effects of two analgesic regimens on the postoperative analgesia and knee functional recovery after unilateral total knee arthroplasty-a randomized controlled trial // Zhonghua wai ke za zhi (Chinese journal of surgery). – 2015. – Vol. 3, № 7. – P. 522–527.

45. Schwarzkopf R. Modern techniques in total hip arthroplasty: From primary to complex. – JP Medical Ltd., 2014. – 190 p.

46. Sinatra R., de Leon-Cassasola O., Viscusi E., Ginsberg B. Acute pain management. – Cambridge: Cambridge University Press, 2009. – 706 p.

47. Sinatra R. S., Torres J., Bustos A. M. Pain Management After Major Orthopaedic Surgery: Current Strategies and New Concepts // J. Am. Academy of Orthopaedic Surgeons. – 2002. – Vol. 10, № 2. – P. 117–129.

48. Sites B. D., Beach M., Biggs R. et al. Intrathecal clonidine added to a bupivicaine-morphine spinal anesthetic improves postoperative analgesia for total knee arthroplasty // Anest. Analg. – 2003. – Vol. 96. – P. 1083–1088.

49. Slover J., Riesgo A., Payne A., Umeh U. Modern anesthesia for total joint arthroplasty // Ann. Orthop. Rheumatol. – 2014. – Vol. 2, № 3. – P. 1026.

50. Spangehl M., Clarke H., Hentz J. The chitranjan ranawat award: Periarticular injections and femoral & sciatic blocks provide similar pain relief after TKA: A randomized clinical trial // Clin. Orthopedics and Related Research. – 2015. – Vol. 473, № 1. – P. 45–53.

51. Starks I., Wainwright T., Middleton R. Local anaesthetic infiltration in joint replacement surgery: What is its role in enhanced recovery? // ISRN Anesthesiology. – 2011. – Vol. 2011. Article ID 742927, 8 pages

52. Subramaniam R., Sathappan S. S. The effects of single shot versus continuous femoral nerve block on postoperative pain and rehabilitation following total knee arthroplasty // Malaysian Orthopaedic J. – 2010. – Vol. 4, № 1. – P. 19–25.

53. Tang Y., Tang X., Wei Q., Zhang H. Intrathecal morphine versus femoral nerve block for pain control after total knee arthroplasty: a meta-analysis // J. Orthopaedic Surgery Research. – 2017. – Vol. 12. – P. 125.

54. Toftdahl K., Nikolajsen L., Haraldsted V. Comparison of peri- and intraarticular analgesia with femoral nerve block after total knee arthroplasty. A randomized clinical trial // Acta Orthopaedica. – 2007. – Vol. 78, № 2. – P. 172–179.

55. Walter F. L., Bass N., Bock G., Markel D. C. Success of clinical pathways for total joint arthroplasty in a community hospital // Clin. Orthop. Relat. Res. – 2007. – Vol. 457. – P. 133‒137.

56. Yoon R. S, Nellans K. W., Geller J. A. et al. Patient education before hip or knee arthroplasty lowers length of stay // J. Arthroplasty. – 2010. – Vol. 25, № 4. – P. 547–551.

57. Yu B., He M., Cai G-Y. et al. Ultrasound-guided continuous femoral nerve block vs continuous fascia iliaca compartment block for hip replacement in the elderly: A randomized controlled clinical trial (CONSORT) // Medicine. – 2016. – Vol. 95, № 42. – Р. e5056.

58. Yun X.-D., Yin X.-L., Jiang J. et al. Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis // Orthopaedics & Traumatology: Surgery & Research. – 2015. – Vol. 101, № 5. – P. 565–569.

59. Zhang P., Li J., Song Y., Wang X. The efficiency and safety of fascia iliaca block for pain control after total joint arthroplasty: A meta-analysis // Medicine. – 2017. – Vol. 96, № 15. – Р. e6592.


Для цитирования:


Курганский А.В., Храпов К.Н. ПОДХОДЫ К ПОСЛЕОПЕРАЦИОННОМУ ОБЕЗБОЛИВАНИЮ ПРИ ОПЕРАЦИЯХ ТОТАЛЬНОГО ЭНДОПРОТЕЗИРОВАНИЯ КОЛЕННОГО И ТАЗОБЕДРЕННОГО СУСТАВОВ. Вестник анестезиологии и реаниматологии. 2018;15(4):76-85. https://doi.org/10.21292/2078-5658-2018-15-4-76-85

For citation:


Kurganskiy A.V., Khrapov K.N. APPROACHES TO POST-OPERATIVE PAIN RELIEF DURING TOTAL KNEE AND HIP REPLACEMENT. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(4):76-85. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-4-76-85

Просмотров: 299


Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 2078-5658 (Print)
ISSN 2541-8653 (Online)