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Papers of the Week


2023 Jan 25


Acta Anaesthesiol Scand

Repeat dose steroid in high pain responders after total knee arthroplasty – A study protocol.

Authors

Springborg AH, Varnum C, Nielsen NI, Rasmussen LE, Kjaersgaard-Andersen P, Pleckaitiene L, Gromov K, Troelsen A, Kehlet H, Foss NB
Acta Anaesthesiol Scand. 2023 Jan 25.
PMID: 36695403.

Abstract

Pain after total knee arthroplasty is a well-known clinical problem potentially delaying ambulation and recovery. Perioperative glucocorticoids reduce pain and facilitate early recovery, but the optimal timing and dose are still unknown. High pain catastrophizers have an increased risk of poorly controlled postoperative pain, and moderate to severe pain at 24 h is associated with a risk of pain relapse at 48 h.