Use of Peripheral Nerve Blocks for Total hip Arthroplasty

Author:

Grinman Leon,Elmore Brett,Ardon Alberto E.,Hussain Adnan,Malik Mohammed Faysal,Hernandez Nadia,Jacoby Mackenzie Janice

Abstract

Abstract Purpose of Review The purpose of this review is to summarize the recent literature regarding regional anesthesia (RA) techniques and outcomes for total hip arthroplasty (THA) in the face of changing surgical techniques and perioperative considerations. Recent Findings Based on large meta-analyses, peripheral nerve blocks are indicated for THA. Each block has its own risks and benefits and data for outcomes for particular techniques are limited. Summary New surgical techniques, improved use of multimodal analgesia, and improved ultrasound guided regional anesthetics lead to better pain control for patients undergoing THA with less associated risks. Block selection continues to be influenced by provider comfort, surgical approach, patient anatomy, and postoperative goals. Head-to-head studies of particular nerve blocks are warranted.

Publisher

Springer Science and Business Media LLC

Reference71 articles.

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3. Anger M, Valovska T, Beloeil H, Lirk P, Joshi GP, Van de Velde M, et al. Large meta-analysis of 108 RCTs and 21 meta-analyses of peri-op intervensions surrounding THA, leading to a consensus statement recommending certain peripheral nerve blocks, among other interventions for pain control after THA. Anaesthesia. 2021;76:1082–97. PROSPECT guideline for total hip arthroplasty: a systematic review and procedure-specific postoperative pain management recommendations.

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