Enhanced Recovery for Hip and Knee Joint Replacement

Benefits of Multimodal Anaesthesia

Multimodal anaesthesia aims to address pain through different pathways, leading to improved pain control and fewer side effects. By combining multiple analgesic methods, we can effectively manage pain while minimising the reliance on opioids. This approach not only enhances comfort allowing for improved mobilisation but also reduces the risk of opioid-related complications (e.g. minimal to no nausea) and promotes a smoother recovery. 1

Components of Our Multimodal Anaesthesia Approach

Before the surgery, our team conducts a thorough assessment to determine the most effective combination of pain management techniques tailored to your specific needs. This preparation includes educating you about the planned anaesthesia methods and setting realistic expectations for your surgery and recovery.

During the joint replacement procedure, we integrate various analgesic methods, such as non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, and, when necessary, low-dose opioids. Regional anaesthesia techniques, like nerve blocks or spinal anaesthesia, are employed to provide targeted pain relief and reduce overall discomfort. 2

Our anaesthesia team continuously monitors your condition throughout the surgery to ensure optimal pain management and adjust medications as needed. By employing advanced monitoring techniques and personalised anaesthesia plans, we aim to enhance your safety and comfort.

Following the surgery, our pain management strategy includes a continuation of NSAIDs and paracetamol to manage pain effectively while reducing the need for opioids. Patient-controlled analgesia (PCA) may be used to allow you to manage your own pain relief within controlled limits. Regional anaesthesia techniques such as nerve blocks that utilise local anaesthetic, are maintained to provide extended pain relief.