Date of Award
11-2024
Document Type
Dissertation
Degree Name
Doctor of Medical Science (DMSc)
First Advisor
Jason Brumitt
Second Advisor
Curt Stilp, EdD, PA-C
Third Advisor
Shane Merrill DNAP, APRN
Abstract
Background: The opioid epidemic ranks among the most significant public health crises of our time, with prolonged opioid use often resulting from overprescription following surgeries such as total knee arthroplasty.
Methods: PubMed and Medline (EBSCO) were searched from inception until July 2024 for studies comparing multimodal pain management interventions aimed at reducing opioid use after total knee arthroplasty (TKA) to a control group. Twenty-eight articles were identified that met the inclusion criteria.
Results: Opioid-sparing multimodal pain management approaches, including acetaminophen, non-steroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, gabapentinoids, peripheral nerve blocks, cryoneurolysis and local infiltration analgesia, can effectively manage pain after a TKA.
Conclusion: Multimodal analgesic pain management is an effective, opioid-sparing strategy to manage perioperative pain following a TKA. Future research trials are needed to provide more conclusive evidence-based information, as the comparison of some similar trials had conflicting evidence.
Recommended Citation
Merrill, Renee; Stilp, Curt C.; Merrill, Shane; Rhea, Michelle; and Brumitt, Jason, "A Scoping Review: Multimodal Pain Management to Reduce Perioperative Opioid Use in Total Knee Arthroplasty" (2024). Doctor of Medical Science (DMSc). 44.
https://digitalcommons.georgefox.edu/dmsc/44