![]() Comparison of the fascia iliaca compartment block with the 3-in-1 block in children. Fascia iliaca block- an anatomical and technical description. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. This study concluded that a continuous femoral nerve block is an acceptable analgesic alternate to a continuous posterior lumbar plexus block, however early ambulation is suffers with FNB.Ĭapdevila X, Barthelet Y, Biboulet P, Ryckwaert Y, Rubenovitch J, d’Athis F. Continuous femoral versus posterior lumbar plexus nerve blocks for analgesia after hip arthroplasty: a randomized, controlled study. A study of the paravertebral anatomy for ultrasound-guided posterior lumbar plexus block. ![]() Kirchmair L, Entner T, Wissel J, Moriggl B, Kapral S, Mitterschiffthaler G. Lumbar plexus block as an effective alternative to subarachnoid block for intertrochanteric hip fracture surgeries in the elderly. Lumbar plexus block reduces pain and blood loss associated with total hip arthroplasty. Stevens R, Van Gessel E, Flory N, Fournier R, Gamulin Z. Plexus blocks for lower extremity surgery: New answers to old problems. Winnie AP, Ramamurthy S, Durrani Z, Radonjic R. A retrospective case series of pericapsular nerve group (PENG) block for primary versus revision total hip arthroplasty analgesia. Kukreja P, Avila A, Northern T, Dangle J, Kolli S, Kalagara H. Local infiltration analgesia for postoperative pain control following total hip arthroplasty: a systematic review. Anterior quadratus lumborum block for postoperative recovery after total hip arthroplasty: a study protocol for a single-center, double-blind, randomized controlled trial. Postoperative pain treatment after total hip arthroplasty: a systematic review. This was first prospective randomized, double blinded study to report the effectiveness of the QLB for pain control after THA and decreased opioid consumption up to 48 hours after primary THA. Anterior quadratus lumborum block analgesia for total hip arthroplasty: a randomized, controlled study. Update on selective regional analgesia for hip surgery patients. A procedure-specific systematic review and consensus recommendations for analgesia after total hip replacement. Hospitalization for total hip replacement among inpatients aged 45 and over: United States, 2000–2010. Review of current practices of peripheral nerve blocks for hip fracture and surgery. Hip fracture trends in the United States, 2002 to 2015. Lewiecki EM, Wright NC, Curtis JR, Siris E, Gagel RF, Saag KG, Singer AJ, Steven PM, Adler RA. Total hip arthroplasty and peripheral nerve blocks: limited but salient role? J Anaesthesiol Clin Pharmacol. Analgesic techniques after total hip arthroplasty. ![]() Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Posterior quadratus lumborum block for primary total hip arthroplasty analgesia: a comparative study. This study concluded that utilization of neuraxial anesthesia for primary joint arthroplasty is associated with superior perioperative outcomes like 30-day mortality, length of stay and in-hospital complications. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Papers of particular interest, published recently, have been highlighted as: Newer regional anesthesia blocks like quadratus lumborum block (QLB) and pericapsular nerve group (PENG) block have shown to provide effective analgesia for THA in recent studies. SummaryĬhoosing the correct multimodal analgesic regimen (MMA) in patients undergoing THA is of utmost importance, as this can minimize side effects, optimize recovery, reduce the use of opioid consumption, and decrease overall post-operative morbidity and mortality. Combining peripheral nerve blocks (PNB) with adjunctive measures such as local infiltration analgesia, gabapentenoids, systemic non-steroidal anti-inflammatory drugs (NSAIDs), and spinal (intrathecal) opioids allows the anesthesiologist to provide optimal analgesia with potential for minimal adverse effects, as well as prolonging the duration of pain control. To date, there exists no gold standard regional or multimodal pain regimen used for patients undergoing THA. ![]() The purpose of this literature review was to examine the different modes of analgesia that are used to manage post-operative pain in patients undergoing hip surgery, primarily THA. The goal of achieving adequate acute pain management in the post-operative setting remains a challenge. Total hip arthroplasty (THA) is one of the most common joint arthroplasty surgical procedures. ![]()
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