Anesthetic Techniques for Minimally Invasive Total Knee Arthroplasty

Minimally Invasive Subvastus Approach: Improving the Results of Total Knee Arthroplasty: A Prospective, Randomized Trial

“…In contrast, Lombardini and colleagues [15] and Schroer and colleagues [20] found earlier hospital discharge with the minimally invasive subvastus approach. The application of rapid recovery protocols may accelerate the recovery of these patients and reduce the hospital stay [2,5,19]. However, one should not forget that Healy and colleagues [10] showed how an aggressive rapid recovery protocol was capable of reducing hospital stay and cost of TKA performed by the conventional approach as well.…”

Femoral Nerve Block Improves Analgesia Outcomes after Total Knee Arthroplasty

“…3 There are, however, many adverse effects associated with epidural analgesia, including significant perioperative hypotension, urinary retention, pruritus, and respiratory depression. 3,7,8 In addition, sensation and ambulation are affected in the nonoperative leg. These adverse effects may limit the early initiation of physiotherapy after TKA.…”

“…Unpublished studies were not identified. (20) CFNB ( (37) CFNB (14) CFNB Good et al, 2007 (32) SSFNB (22) PCA ( Hirst et al, 1996 (23) SSFNB (11) CFNB (11) PCA (11) Technique: nerve stimulator Type: 3-in-1 block Drugs: 20 ml 0.5% B (SSFNB) or 20 ml 0.5% B followed by 0.125% B at 6 ml/h (CFNB) Kadic et al, 2009 (34) CFNB (27) PCA ( (24) CFNB (20) PCA ( (25) SSFNB (29) PCA ( (12) CFNB ϩ Sciatic (8) Epidural (8) PCA ( (35) CFNB ( (28) CFNB (15) Epidural (15) PCA ( (31) CFNB (30) Epidural ( 11 To receive full points, a study had to be randomized, be doubleblind, show completeness of follow-up, use suitable techniques to create the randomization sequence, and describe an acceptable blinding method. The modification of the five-point methodological scale was in relation to completeness of follow-up.…”

“…FNB groups had significantly less nausea (0.31 Odds) compared with PCA, but there were no differences in terms of pruritus or sedation (see figs. [8][9][10].…”

Preoperative and Postoperative Anesthetic and Analgesic Techniques for Minimally Invasive Surgery of the Spine

“…9 Smaller incision, shorter length of hospital stay, and earlier return to daily activities are all benefits of this new era of MIS, which requires the surgeons and anesthesiologists to work together to improve patient care. This collaborative effort between anesthesiologist and surgeons has led to tremendous success in establishing fasttrack protocols, 10 which have led patients to be discharged home the same day after major joint surgery. 11 This article will discuss the various anesthetic and analgesic options for preoperative (Table 1) and postoperative management (Figure 1) of patients undergoing MIS of the spine.…”