Peripheral nerve blocks for elective primary total hip arthroplasty: Have we yet found the optimal solution?

• Published in: Journal of clinical anesthesia Vol. 67; p. 109964
• Main Authors: Guay, Joanne, Rosenblatt, Meg A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2020; Elsevier Limited
• Subjects: Anesthesia; Arthroplasty, Replacement, Hip - adverse effects; Delirium; Fascia; Hospitals; Humans; Joint replacement surgery; Joint surgery; Lumbosacral Plexus; Morphine; Narcotics; Nerve Block; Pain; Pain Medicine; Patient satisfaction; Peripheral Nerves; Ultrasonic imaging
• ISSN: 0952-8180; 1873-4529; 1873-4529
• DOI: 10.1016/j.jclinane.2020.109964

For postoperative analgesia, multimodal analgesia and peripheral nerve blocks have been shown to decrease opioids requirements, postoperative pain, risk for delirium, time to first mobilization and hospital length of stay [6–8]. Described in 2018 the PEricapsular Nerve Group (PENG) block which selectively target articular branches of the femoral and obturator nerves has been reported to provide interesting pain relief for patients with hip fractures [17]. Judicious choices and addition of multimodal analgesia may define the “winning combination” to ensure that THA can be performed on an ambulatory basis.Author's contributions Joanne Guay and Meg A Rosenblatt wrote this editorial and review it before submission.Funding Departmental resources only.Declaration of competing interest Meg Rosenblatt: I have no conflict of interest.