Impact of Pain on Postoperative Recovery and Participation in Care Following Knee Arthroplasty Surgery: A Qualitative Descriptive Study

Keast, Mirella; Hutchinson, Ana; Khaw, Damien; McDonall, Jo

doi:10.1016/j.pmn.2021.11.011

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…The perception of active participation is frequently thought of as simply following directions versus having a discussion about an analgesic plan. Nurses are often perceived as overwhelmed and without time for individual requests, which can discourage patients from active engagement in postoperative care (Keast et al, 2022). Patient education in formats that are not sensitive to diverse and individual needs lead to decreased satisfaction in care (McDonall et al, 2019).…”

Section: Patientmentioning

confidence: 99%

Acute Perioperative Pain Management of the Orthopaedic Patient

McNaughton,

Quinlan-Colwell,

Lyons

et al. 2024

Orthopaedic Nursing

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Orthopaedic surgery often results in pain, with less than half of patients reporting adequate relief. Unrelieved acute pain occurring after surgery increases the risk of negative sequelae, including delayed healing, increased morbidity, pulmonary complications, limited rehabilitation participation, anxiety, depression, increased length of stay, prolonged duration of opioid use, and the development of chronic pain. Interventions that are individualized, evidence-informed, and applied within an ethical framework improve healthcare delivery for patients, clinicians, and healthcare organizations. Recommendations for using the principles of effective pain management from preoperative assessment through discharge are detailed, including recommendations for addressing barriers and challenges in applying these principles into clinical practice.

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Section: Patientmentioning

confidence: 99%

Acute Perioperative Pain Management of the Orthopaedic Patient

McNaughton,

Quinlan-Colwell,

Lyons

et al. 2024

Orthopaedic Nursing

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“…Pain management is another essential component of postoperative care. Knee surgery can be pretty painful, and managing this pain effectively is vital for a successful recovery[ 6 ]. While narcotics are often used, they are not considered the most effective for pain relief[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Optimizing pain management in elderly patients post-knee surgery: A novel collaborative strategy

Nashwan

2024

World J Clin Cases

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Total knee replacement, a common surgery among the elderly primarily necessitated by osteoarthritis, replaces the damaged knee joint with an artificial one. Given the aging population and the increasing prevalence of such surgeries, the article highlights the critical need for effective postoperative care strategies. This editorial provides an overview of rehabilitation care for pain in elderly knee replacement patients, emphasizing the importance of a multimodal approach to postoperative recovery. Furthermore, the article advocates for a patient-centered, comprehensive rehabilitation regimen that enhances recovery and quality of life in elderly patients undergoing knee replacement surgery.

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“…As much as 50% of TKA patients report severe pain after surgery, leading to prolongation of the rehabilitation period, reduced cooperation during physiotherapy sessions, and increased risk of chronic postsurgical pain development [6][7][8][9][10]. The aforementioned aspects contribute to longer hospital stays, higher costs, and an adverse socioeconomic impact [11,12].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of the Combination of Continuous Femoral Nerve Block and Intravenous Parecoxib on Rehabilitation in Patients Undergoing Total Knee Arthroplasty: A Double-Blind, Randomized Clinical Trial

Sarridou,

Gkiouliava,

Argiriadou

et al. 2024

Cureus

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Background and aim: The optimal strategy for the management of postoperative pain after total knee arthroplasty (TKA) remains challenging, while its treatment is crucial to increase patients’ outcomes. This study aimed to investigate the effects of parecoxib as add-on therapy, in a standard postoperative pain management protocol, represented by the continuous femoral nervous block. We studied its influence on rehabilitation indices and pain scores in patients undergoing TKA. Material and methods: This is a single-center, prospective, double-blind, randomized, placebo-controlled trial. All patients were operated with the use of subarachnoid anesthesia, and divided into two groups for postoperative analgesia. Both groups received a continuous femoral nerve block. One of the groups received intravenous parecoxib, while the other received a placebo. The primary investigated outcome was the range of motion (ROM). Recordings were noted at different times postoperatively. Bromage score (BS), visual analog scale (VAS), and the State-Trait Anxiety Inventory (STAI) were also studied. Results: A total of 90 patients were included and analyzed. ROM was significantly better (p<0.001) and pain scores were significantly lower (p=0.007) in the parecoxib group. No statistically significant difference was found with regard to BS between the two groups. A significant correlation was found between ROM and VAS pain scores at 12 hours (p=0.02), while ROM was inversely correlated with STAI postoperatively. Conclusions: The use of intravenous parecoxib is effective in improving rehabilitation indices and provides decreased postoperative pain scores after TKA.

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Impact of Pain on Postoperative Recovery and Participation in Care Following Knee Arthroplasty Surgery: A Qualitative Descriptive Study

Cited by 10 publications

References 27 publications

Acute Perioperative Pain Management of the Orthopaedic Patient

Acute Perioperative Pain Management of the Orthopaedic Patient

Optimizing pain management in elderly patients post-knee surgery: A novel collaborative strategy

The Efficacy of the Combination of Continuous Femoral Nerve Block and Intravenous Parecoxib on Rehabilitation in Patients Undergoing Total Knee Arthroplasty: A Double-Blind, Randomized Clinical Trial

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