Faculty, Staff and Student Publications
Publication Date
11-1-2024
Journal
Current Pain and Headache Reports
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. 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.
Keywords
Humans, Arthroplasty, Replacement, Hip, Nerve Block, Pain, Postoperative, Peripheral Nerves, Pain Management, Total hip arthroplasty, Regional anesthesia, Nerve block, Post-operative pain, Perioperative outcomes
DOI
10.1007/s11916-024-01287-7
PMID
38907794
PMCID
PMC11461552
PubMedCentral® Posted Date
6-22-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes