膝关节置换术后疼痛管理和康复训练精简版.ppt

Second Injection After Components implanted and knee reduced Deep tissues on both side of the incision line Third Injection Skin 5 mm deep to skin surface into subcutaneous tissues. Systematically around wound Needle at right angles to skin edge Go in about 2 cm and inject while you withdraw Injections about 2 cm apart Pain Catheter Pain Catheter - TKR Supplementary Medication Top-up Ropivacaine 15 mLs + Ketorolac 30 mg through catheter Usually only once or twice – usually after 6 hours Tramadol and NSAIDS Only if pain persists or is severe Technique - Day 2 Re-injection via Cathe