Anesthetic and Analgesic Management for Outpatient Knee Arthroplasty.


PURPOSE OF REVIEW:Total knee arthroplasty traditionally has been associated with significant postoperative pain that can limit recovery and prolong hospital length of stay. Recently, however, due to financial pressures and an emphasis on improving patient satisfaction, many institutions are implementing outpatient and short-stay programs for patients undergoing this procedure. An effective perioperative anesthetic plan is an essential quality of a successful outpatient joint replacement program. RECENT FINDINGS:Improved technology and innovation has led to more effective and efficient strategies that contribute to a smoother and quicker postoperative course. The use of peripheral nerve blocks in conjunction with a variety of systemic analgesics has reduced post-operative pain compared to older modalities. Specifically, the adductor canal and IPACK blocks have become increasingly popular due to their analgesic efficacy and muscle sparing characteristics. Outpatient knee arthroplasty is becoming a reality with advancements in surgical pathways that incorporate these newer modalities with an emphasis on multidisciplinary coordination.


Curr Pain Headache Rep


Cullom C,Weed JT




Has Abstract


2017-05-01 00:00:00














  • An update on botulinum toxin A injections of trigger points for myofascial pain.

    abstract::Myofascial pain syndrome (MPS) is a common chronic pain condition that is characterized by distinct "trigger points." Despite current treatments with physical therapy, analgesics, anti-depressants and trigger-point injections, myofascial pain remains a challenging chronic pain condition in clinical practice. Botulinum...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Zhou JY,Wang D

    更新日期:2014-01-01 00:00:00

  • Exercise therapy for fibromyalgia.

    abstract::Fibromyalgia syndrome, a chronic condition typically characterized by widespread pain, nonrestorative sleep, fatigue, cognitive dysfunction, and other somatic symptoms, negatively impacts physical and emotional function and reduces quality of life. Exercise is commonly recommended in the management of people with fibr...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Busch AJ,Webber SC,Brachaniec M,Bidonde J,Bello-Haas VD,Danyliw AD,Overend TJ,Richards RS,Sawant A,Schachter CL

    更新日期:2011-10-01 00:00:00

  • Neuroimaging and the clinical manifestations of Chiari Malformation Type I (CMI).

    abstract::Chiari malformation type I (CMI) involves the caudal displacement of the cerebellar tonsils through the foramen magnum with resultant brainstem compression in some individuals. Due to pathophysiologic changes, secondary conditions may arise, such as syringohydromyelia (SH) and scoliosis. This disorder is unique, as th...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: McVige JW,Leonardo J

    更新日期:2015-06-01 00:00:00

  • Management of fatigue in cancer patients.

    abstract::Cancer-related fatigue (CRF) is either a symptom or a syndrome depending on criteria for diagnosis. CRF is present in 20% to 30% of long-term cancer survivors and 80% to 90% during treatment and at the end of life. Assessment requires determining the presence, severity, and interference with daily activities. Differen...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Davis MP,Khoshknabi D,Yue GH

    更新日期:2006-08-01 00:00:00

  • Behavioral management of migraine headache triggers: learning to cope with triggers.

    abstract::The literature on migraine triggers is reviewed, including the most common triggers, interactions between triggers, the research evidence related to the capacity of self-reported triggers to precipitate headaches, and the neurobiologic pathways by which triggers induce migraine attacks. An argument is developed agains...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Martin PR

    更新日期:2010-06-01 00:00:00

  • New theories in the pathogenesis of menstrual migraine.

    abstract::Hormonal and nonhormonal factors play a role in the pathophysiology of menstrual migraine, but estrogen withdrawal appears to be the most potent of these factors. It is postulated that estrogen withdrawal directly enhances excitability of trigeminal afferents, modulates the synthesis of neuropeptides, activates/deacti...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Martin VT

    更新日期:2008-12-01 00:00:00

  • A Review of Recent Advances in Ultrasound, Placed in the Context of Pain Diagnosis and Treatment.

    abstract::Ultrasound plays a significant role in the diagnosis and treatment of pain, with significant literature reaching back many years, especially with regard to diagnostic ultrasound and its use for guiding needle-based delivery of drugs. Advances in ultrasound over at least the last decade have opened up new areas of inqu...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Bobola MS,Chen L,Ezeokeke CK,Kuznetsova K,Lahti AC,Lou W,Myroniv AN,Schimek NW,Selby ML,Mourad PD

    更新日期:2018-07-10 00:00:00

  • Headache and Chiari I malformation: clinical presentation, diagnosis, and controversies in management.

    abstract::The Chiari I malformation is a cerebellar anomaly of uncertain origin, defined in part as tonsillar herniation of at least 3 to 5 mm below the foramen magnum; it is associated with crowding of the craniocervical junction. It is the most frequent of the Chiari malformations and is associated with headaches, syringohydr...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Taylor FR,Larkins MV

    更新日期:2002-08-01 00:00:00

  • Antidepressants in the management of cancer pain.

    abstract::Most patients who have been diagnosed with cancer will experience pain at some point during the course of their disease. Often, opioid analgesics are not enough to completely alleviate the patient's pain and the selection of appropriate adjunct analgesic agents is critical. This article reviews the mechanisms of actio...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Mays TA

    更新日期:2001-06-01 00:00:00

  • A Comprehensive Review of the Treatment and Management of Pain in Sickle Cell Disease.

    abstract:PURPOSE OF REVIEW:Sickle cell disease (SCD) is a hematological disorder which leads to serious complications in multiple organ systems. While significant research has addressed many of the effects of acute pain episodes and end-organ damage connected to this disease, little has approached the chronic pain state associa...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Fiocchi J,Urits I,Orhurhu V,Orhurhu MS,Giacomazzi S,Hoyt B,Kaye AD,Kaye RJ,Viswanath O

    更新日期:2020-03-21 00:00:00

  • CSF-Venous Fistula.

    abstract:PURPOSE OF REVIEW:To provide an update on recent developments in the understanding, diagnosis, and treatment of CSF-venous fistula (CVF). RECENT FINDING:CVF is a recently recognized cause of spontaneous intracranial hypotension (SIH), an important secondary headache, in which an aberrant connection is formed between t...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Roytman M,Salama G,Robbins MS,Chazen JL

    更新日期:2021-01-21 00:00:00

  • A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment.

    abstract:PURPOSE OF REVIEW:This review highlights the importance of osteopathic manipulative treatment (OMT) in headache sufferers. OMT is a viable option for patients who either do not wish to use pharmaceuticals or who have contraindications to pharmaceuticals. Patients with headaches that are refractory to other treatment op...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Whalen J,Yao S,Leder A

    更新日期:2018-10-05 00:00:00

  • How to investigate and treat: headache and hyperprolactinemia.

    abstract::Hyperprolactinemia is a condition characterised by an increase of prolactin blood levels (more than 100-200 ng/ml). It is the most common endocrine disorder of the hypothalamic-pituitary axis. The clinical characteristics of the headache-hyperprolactinemia-hypophyseal-adenoma association are discussed, the various dia...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Bussone G,Usai S,Moschiano F

    更新日期:2012-08-01 00:00:00

  • Pharmacologic therapies for complex regional pain syndrome.

    abstract::Complex regional pain syndrome (CRPS) remains a challenging condition to diagnose and treat. There are few large-scale, randomized trials of pharmacologic agents, and most published studies are small, uncontrolled, or presented only in abstract form at meetings. The most commonly used agents, such as anticonvulsants, ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Mackey S,Feinberg S

    更新日期:2007-02-01 00:00:00

  • Contribution of primary afferent channels to neuropathic pain.

    abstract::Neuropathic pain remains a serious medical problem because of patient morbidity and the absence of effective therapeutic interventions. Recent evidence suggests that this type of pain may be particularly difficult to manage because underlying mechanisms are influenced by a variety of factors, including type of injury,...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Harriott AM,Gold MS

    更新日期:2009-06-01 00:00:00

  • Update on neuropathic pain treatment: ion channel blockers and gabapentinoids.

    abstract::Neuropathic pain is a debilitating chronic pain condition, which remains difficult to treat. The current mainstays of treatment include physical therapy, interventional procedures and medications. Among medications, ion channel blockers and gabapentinoids are the 2 classes of drugs commonly used to treat neuropathic p...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Chen L,Mao J

    更新日期:2013-09-01 00:00:00

  • Spinal agents for acute pain management.

    abstract::This article describes the current and investigational agents for use in the treatment of acute pain. The use of spinal and epidural routes also are discussed. ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Bowen G,Viscusi ER,Andonakakis A

    更新日期:2004-02-01 00:00:00

  • Imaging chronic daily headache.

    abstract::New imaging technology allows us to study neurologic disorders that have had no previous structural basis. There have been recent reports on the involvement of nociceptive pathways in daily headache. A systematic review was performed using key words "chronic daily headache" and "imaging." This paper reviews the litera...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Aurora SK

    更新日期:2003-06-01 00:00:00

  • Headache in Intracranial and Cervical Artery Dissections.

    abstract::Dissection refers to a tear in the wall of an artery, with the two main types being intracranial or extracranial. Dissections tend to occur most commonly in the young, sometimes secondary to trauma involving the neck. To confirm a dissection, some type of vessel imaging is necessary, including magnetic resonance angio...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Sheikh HU

    更新日期:2016-02-01 00:00:00

  • Radiofrequency Ablation for Treating Headache: a Follow-up Study.

    abstract:PURPOSE OF REVIEW:To identify the efficacy of radiofrequency ablation of pericranial nerves in treating headache. RECENT FINDINGS:Recent studies by the same group showed promising results in treating headache using radiofrequency ablation. Pericranial nerves can be a therapeutic target for treating headache. Our resul...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章


    authors: Abd-Elsayed A,Falls C,Luo S

    更新日期:2020-03-12 00:00:00

  • Tension type headache in adolescence and childhood: where are we now?

    abstract::Tension type headache (TTH) is a primary headache disorder considered common in children and adolescents. It remains debatable whether TTH and migraine are separate biological entities. This review summarizes the most recent literature of TTH with regards to children and adolescents. Further studies of TTH are needed ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Monteith TS,Sprenger T

    更新日期:2010-12-01 00:00:00

  • The Status of Pain Research in Academia and how We Are Doing in the United States.

    abstract:: ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Abd-Elsayed A,Fiala K

    更新日期:2019-01-19 00:00:00

  • Tension-type headache in the elderly.

    abstract::Tension-type headache is the most common primary headache disorder seen in adults. Although the prevalence peaks in the fourth and fifth decades of life, significant fractions of the elderly continue to experience either episodic or chronic tension-type headaches. Many secondary headache disorders may present with hea...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Kaniecki RG

    更新日期:2006-12-01 00:00:00

  • Migrainous infarction: aspects on risk factors and therapy.

    abstract::Migraine and stroke are related in more than one way. Migraine with aura is a risk factor for ischemic stroke in women under age 45 years, particularly when combined with other risk factors such as smoking and oral contraceptives. Further, individuals with migraine with aura seem to have more white matter lesions and ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Laurell K,Lundström E

    更新日期:2012-06-01 00:00:00

  • What predicts evolution from episodic to chronic cluster headache?

    abstract::Over the last few years, attention has increasingly been focused on the evolution of cluster headache over time. Predictive factors have been identified that are correlated with an increased risk of unfavorable evolution from the episodic form to the chronic form of cluster headache. Late onset, the presence of sporad...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Torelli P,Manzoni GC

    更新日期:2002-02-01 00:00:00

  • What the Gut Can Teach Us About Migraine.

    abstract::During gestation, cells of the brain and gut develop almost simultaneously into the central nervous system (CNS) and enteric nervous system (ENS), respectively. They remain connected via the vagal nerve lifelong. While it is well known that the brain sends signal to the gut, communication is in fact bidirectional. Jus...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Hindiyeh N,Aurora SK

    更新日期:2015-07-01 00:00:00

  • Pain outcomes: a brief review of instruments and techniques.

    abstract::Pain is a difficult outcome to measure due to its multifaceted and subjective nature. The need for selecting proper outcome measures is high because of the increasing demand for scientifically valid demonstrations of treatment efficacy. This article discusses some basic topics in the measurement of pain outcomes and a...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Younger J,McCue R,Mackey S

    更新日期:2009-02-01 00:00:00

  • Spinal cord stimulation in cluster headache.

    abstract::Neurostimulation techniques for the treatment of primary headache syndromes, particularly for chronic cluster headache (CCH), have received much interest in the recent years. Occipital nerve stimulation (ONS) has yielded favourable clinical results, and is becoming a routine treatment for refractory chronic cluster he...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Wolter T,Kaube H

    更新日期:2013-05-01 00:00:00

  • Advances in radiation therapy for oncologic pain.

    abstract::Pain is a feared component of cancer for a patient. The patient's prior experience with cancer pain will affect how he or she deals with ongoing and acute onset new pain. Radiation therapy has been and continues to be a major component in the management of cancer pain. New technologies are rapidly becoming available t...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Rockhill JK

    更新日期:2007-08-01 00:00:00

  • Headache in Neuromyelitis Optica.

    abstract:PURPOSE OF REVIEW:Neuromyelitis optica (NMO) classically features a clinical presentation that includes longitudinally extensive transverse myelitis and optic neuritis. However, many other pathognomonic phenomena have more recently been described in patients diagnosed with NMO, including intractable hiccups, vomiting, ...

    journal_title:Current pain and headache reports

    pub_type: 杂志文章,评审


    authors: Masters-Israilov A,Robbins MS

    更新日期:2017-04-01 00:00:00