Procedure-specific acute pain trajectory after elective total hip arthroplasty: systematic review and data synthesis

BackgroundFor most procedures, there is insufficient evidence to guide clinicians in the optimal timing of advanced analgesic methods, which should be based on expected time course acute postoperative pain severity and aimed at points where basic analgesia has proven insufficient.MethodsWe conducted a systematic search literature trials for total hip arthroplasty (THA), extracting pooling scores across studies, weighted study size. Patients were grouped according anaesthetic method used (general, spinal), adjuvant interventions such as nerve blocks, local infiltration analgesia, multimodal analgesia. Special consideration was given high-risk populations chronic or opioid-dependent patients.ResultsWe identified analysed 71 with 5973 patients constructed trajectories from available scores. In undergoing THA under general anaesthesia regimen, recedes mild level (<4/10) by 4 h after surgery. We note substantial variability intensity even subjected similar regimens. Chronic often actively excluded never separately.ConclusionsWe have demonstrated that it feasible construct procedure-specific curves measures. Acute intense resolved 4–6 surgery patients. However, gap knowledge management