Multimodal approach

Multimodal approach
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  • My knee pain is quite severe! I think I need a joint replacement.
  • I agree. Let us get planning your surgery so you have the best outcome.
  • Time to consider my multimodal approach for Mr. D's pain management.
  • IntraOperative Analgesia Options
  • Great. I would like to use regional nerve blocks, possibly femoral, and local anaesthetic infiltration on Mr. D to aid post operative pain.  
  • I'm Dr. Que, your anaesthetist for Mr. D's operation
  • Post operative analgesia options for Mr. D.
  • Non- Steroidal Anti-Inflammatory Drugs (NSAID'S)
  • Glucocorticoids
  • Pregabalin/Gabapentin
  • Opioid Anaglesia
  • Acetaminophen 
  • Post-operative Phase
  • Mr. D, how is your pain this morning?
  • My pain is manageable with the medications. It has been far less then expected, very suprising.
  • *
  • Pulos, N & Sheth, N 2014, 'Perioperative Pain Management Following Total Joint Arthroplasty', Annals of Orthopaedic & Rheumatology, vol. 2, no. 3, pp. 1029.
  • I wasn't expecting you home today darling.
  • My pain is well controlled which aided my recovery.
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