Arthropathy of Hip, Hip Arthropathy, Regional Anesthesia Morbidity
Conditions
Keywords
total hip replacement surgery, primary hip arthritis
Brief summary
Background: Optimal pain control with limited muscle weakness is paramount for a swift initiation of physical therapy and ambulation. Fascia iliaca compartment block (FICB) has been recommended since it offers the best pain control with low risk of motor block. Pericapsular nerve group block (PENG) with lateral femoral cutaneous nerve (LFCN) block has been proposed as an effective alternative to FICB that offers similar pain control with a considerably lower risk of motor block. This study aimed to compare the afore mentioned blocks and determine which one yielded the lowest NRS score.
Detailed description
This single-center, retrospective investigation was conducted at ASST Nord Milano Bassini hospital. The study was approved by the ethics committee Comitato Etico Milano Area 3. The main outcome of the study was the comparison of postoperative pain at 6, 12 and 24 hours, expressed as NRS (numeric rating scale), between PENG and LCFN . Secondary outcomes included total opioid consumption expressed as milligrams of morphine equivalents (MME), time to first opioid request, time to first postoperative ambulation.
Interventions
PROCEDUREPeripheral nerve blocks
Peripheral nerve blocks provide intense, site-specific analgesia administring local anesthetics near the nerves.
Sponsors
Ospedale Edoardo Bassini
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* elective total hip replacement surgery for non-traumatic hip disease, age \>18 years, complete clinical chart included the type of peripheral nerve block performed, signed consent form for spinal anesthesia and peripheral nerve block.
Exclusion criteria
* incomplete chart, a peripheral nerve block other than PENG or FIC block was performed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain control | 6 hours after surgery | pain assessment with Numeric Rating Scale (NRS): a 0-10 scale, with zero meaning no pain and 10 meaning the worst pain imaginable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MME of PRN opioid doses | 6 hours after surgery | we studied the effect of Regional anesthesia on opioid-sparing |
| Morphine Milligram Equivalents (MME) of pro re nata (PRN) opioid doses | 24 hours after surgery | we studied the effect of Regional anesthesia on opioid-sparing |
Other
| Measure | Time frame | Description |
|---|---|---|
| time to first postoperative ambulation | From date of surgery until up to 100 days after | we studied the effect or Regional anesthesia on residual paralysis |
| time to first opioid request | From date of surgery until up to 3 days after | we studied the effect of Regional anesthesia on opioid-sparing |
Countries
Italy
Outcome results
None listed