Rheumatology: Current Research

Rheumatology: Current Research
Open Access

ISSN: 2161-1149 (Printed)

Daniel Wiznia

Departments of Orthopedics and Rehabilitation, Yale University, New Haven, CT, USA

  • Case Report   
    Fascia Plane Blockade with Dexamethasone Sodium Phosphate and Methylprednisolone Acetate for Knee Arthrodesis in an Opioid Tolerant Patient with Rheumatoid Arthritis
    Author(s): Adrienne B Mejia, Daniel Wiznia and Jinlei Li*

    A multimodal strategy for perioperative analgesia after a complex orthopedic surgical course is essential in preventing protracted hospital stays, minimizing opioid requirements and allowing for early return to baseline mobility. Peripheral nerve blocks are beneficial to elderly patients, not only reducing intraoperative opioid use, but also minimizing postoperative opioid consumption. There is a significant gap in literature reporting on perineural administration of corticosteroids in acute pain management perioperatively in patients with rheumatoid arthritis. We present a case of a combination of single injection fascia layer blockade in an octogenarian woman with severe rheumatoid arthritis, total knee arthroplasty and subsequent multiple revisions, presenting for antibiotic spacer removal, bone graft, and joint arthrodesis. By combining single administration ultrasound guided addu.. View More»
    DOI: 10.35248/2161-1149.21.s16.004

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