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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