Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S1:E3 "I 'Kneed' To Know More (Nerve Blocks for Knee Surgery)"
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Jan 1, 2023 AI Snips
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Use Multimodal Blocks With Spinal Or GA
- Do combine spinal or GA with a multimodal 24‑injection approach for TKA to reduce pain and side effects.
- Use blocks plus drugs (acetaminophen, NSAID, dexamethasone, ketamine) to improve recovery and reduce opioids.
Comfort Trumps Pure Motor Preservation
- Comfortable patients hit rehab targets faster even if blocks cause some motor impairment.
- Controlled motor weakness (with assistance) can still enable earlier functional recovery.
Prefer Short‑Acting Spinals For Fast Recovery
- Try short‑acting spinal agents (eg. lidocaine/epidural choices) to avoid prolonged sensory/sympathetic block and delayed ambulation.
- Match spinal choice to workflow to prevent PACU orthostasis and overnight admissions.