scholarly journals Peripheral nerve blocks versus general anesthesia for total knee replacement in elderly patients on the postoperative quality of recovery

2014 ◽  
pp. 341 ◽  
Author(s):  
Hong Zhang ◽  
Liu JunLe ◽  
Yuan WeiXiu ◽  
Xiaolin Wang ◽  
Gong MaoWei ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Eric Kamenetsky ◽  
Antoun Nader ◽  
Mark C. Kendall

Although peripheral nerve blocks are commonly used to provide postoperative analgesia after total knee arthroplasty (TKA) and other lower extremity procedures, these blocks are rarely used for intraoperative anesthesia. Most TKAs are performed under general anesthesia (GA) or neuraxial anesthesia (NA). The knee has a complex sensory innervation that makes surgical anesthesia difficult with peripheral nerve blocks alone. Rarely are both GA and NA relatively contraindicated and alternatives are considered. We present a patient who underwent TKA performed under peripheral nerve block and sedation alone.


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