Brian McFee and his brand new knee
Brian had a total knee replacement with pre emptive multimodal analgesia. His postoperative pain was well managed, his surgery was a great success and he was back playing tennis in no time.
Ok Burt just about to close the incision, please proceed with our usual Multimodal approach!
Hi Brian it looks like you're progressing really well, I have come to see if your pain relief is adequate? Yes my pain has been well managed and the physiotherapist thinks I am safe to go home!
Epidural anaesthetic given, nerve block attended, now preparing Parecoxib dose to prevent inflammatory response prior to closure and local anaesthetic infiltration James.
No I don't have any pain, 0/10, my leg is still numb
Ok that is great I am going to give you IV Paracetamol to pre empt the pain and don't forget you have the PCA of Morphine to press when you do get pain. I will also get some ice
Good morning, how is your pain today? That is great, we will remove you PCA and continue with the Panadol, NSAID and Pregabalin to control your pain, if the pain is worse with physiotherapy and walking you can have stronger opiod tablets.
Good morning, my pain is great thank you only a 3/10 and I slept very well.
Brain's treating team used a preemptive multi modal approach to pain management for his total knee arthroplasty. He had a smooth, complication free recovery and went home three days later.
I am now back doing what I love and my acute post operative pain has totally disapeared, I am feeling better than ever.
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