Continuous Lumbar Plexus Block Provides Improved Analgesia With Fewer Side Effects Compared With Systemic Opioids After Hip Arthroplasty: A Randomized Controlled Trial

• Published in: Regional anesthesia and pain medicine Vol. 32; no. 5; pp. 393 - 398
• Main Authors: Siddiqui, Zafar I., Cepeda, M. Soledad, Denman, William, Schumann, Roman, Carr, Daniel B.
• Format: Journal Article
• Language: English
• Published: England Elsevier Inc 01.09.2007; BMJ Publishing Group LTD
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Analgesia, Patient-Controlled; Analgesics, Opioid - administration & dosage; Analgesics, Opioid - adverse effects; Analgesics, Opioid - therapeutic use; Anesthetics, Local - administration & dosage; Anesthetics, Local - adverse effects; Anesthetics, Local - therapeutic use; Arthroplasty, Replacement, Hip; Bupivacaine - administration & dosage; Bupivacaine - adverse effects; Bupivacaine - therapeutic use; Efficacy; Female; Humans; Lumbosacral Plexus; Male; Middle Aged; Morphine - administration & dosage; Morphine - adverse effects; Morphine - therapeutic use; N-of-1 trial; Nerve Block - adverse effects; Neuropathic pain; Pain Measurement - drug effects; Pain, Postoperative - drug therapy; Patient Satisfaction; Postoperative Nausea and Vomiting - epidemiology; Regional anesthesia; Sample Size; Spinal cord stimulation; Treatment Outcome; N-of-1 trial; Efficacy; Spinal cord stimulation; Neuropathic pain

A single injection lumbar plexus block for acute pain management after hip surgery is usually limited to the immediate postoperative period. We conducted a randomized controlled trial to determine the effect of a continuous lumbar plexus block on perioperative opioid requirements and pain intensity....