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Editorial
. 2025:11:E1.
doi: 10.1051/sicotj/2025030. Epub 2025 Jun 6.

Analgesia considerations in orthopaedic surgery: the role of magnesium sulfate infusions

Thomas J Papadimos  1 , Scott M Pappada  2 , Jacob Alexander  3 , Pavlos Altsitzioglou  4 , Theodosis Saranteas  5 , Sebastien Lustig  6 , Andreas F Mavrogenis  4
Affiliations
Editorial

Analgesia considerations in orthopaedic surgery: the role of magnesium sulfate infusions

Thomas J Papadimos et al. SICOT J. 2025.

Abstract

Orthopaedic surgical operations are associated with significant post-operative pain, often managed with opioids, which carry risks of adverse effects and dependency. Magnesium sulfate, a NMDA receptor antagonist with analgesic and muscle relaxant properties, has emerged as a potential adjunct to improve pain control and reduce opioid consumption in orthopaedic procedures. Current evidence supports magnesium sulfate as a valuable adjunct in orthopaedic pain management, particularly in reducing opioid consumption and enhancing muscle relaxation. However, heterogeneity in study design, administration protocols, and patient populations warrants cautious interpretation. Monitoring for side effects such as hypotension and respiratory depression remains essential. Further high-quality, standardized trials are needed to optimize dosing strategies and confirm long-term benefits.

Keywords: Magnesium sulfate; Orthopaedic surgery; Pain.

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Conflict of interest statement

The authors declare that they have no relevant financial or non-financial interests to report.

Figures

Figure 1
Figure 1
Controlling pain and minimizing opioids is essential in orthopaedic surgery.
Figure 2
Figure 2
Intravenous magnesium sulfate infusion in the operating room, intraoperatively, and postoperatively, can decrease the use of opioids.
See this image and copyright information in PMC

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