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Papers of the Week

2022 Aug 01

J Arthroplasty

Minimizing Opioid Use after Total Hip Arthroplasty: Comparing Periarticular Injection versus Patient Controlled Epidural Analgesia versus a Combination Protocol.


Effective management of postoperative pain after total hip arthroplasty (THA) may be challenging. We sought to develop an opioid-sparing pain management pathway by comparing the relative effectiveness of three different protocols: 1) Local anesthetic administered Patient-Controlled Epidural Analgesia (PCEA) without intrathecal opioids; 2) Periarticular Injection (PAI); and 3) PCEA + PAI.