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30-04-2024 | Spinal Anesthesia | Original Paper

Enhancing postoperative recovery in total hip arthroplasty: the role of pericapsular nerve group and lateral cutaneous nerve block under spinal anaesthesia

Authors: Anita Djurdjevic Svraka, Dragan Svraka, Aleksandar Milivojac, Rajko Dodik, Stanislav Palija, Slavko Manojlovic

Published in: International Orthopaedics

Abstract

Aim of the study

To compare the efficacy of spinal anaesthesia alone versus spinal anesthesia augmented with ultrasound-guided pericapsular nerve group (PENG) block combined with lateral femoral cutaneous nerve (LFCN) block in improving perioperative analgesia and functional recovery in patients undergoing THA.

Methods

In a prospective, randomized clinical trial we included 66 patients scheduled for THA were divided into two groups: one receiving spinal anaesthesia alone (SA group; n = 32) and the other receiving spinal anaesthesia with regional analgesia blocks PENG + LFCN (SRAB group; n = 34). In the SRAB group, PENG followed by LFCN blocks were administered under ultrasound guidance before spinal anaesthesia.

Results

There were significant differences between the two groups in the onset of postoperative pain (p < 0.01) and the total amount of analgesics required in the first 36 postoperative hours (p < 0.01).

Conclusion

The combined approach of spinal anaesthesia with PENG and LFCN blockade, enables opioid-free analgesia and may contribute to a safer and more comfortable postoperative experience for THA patients.

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Title: Enhancing postoperative recovery in total hip arthroplasty: the role of pericapsular nerve group and lateral cutaneous nerve block under spinal anaesthesia
Authors: Anita Djurdjevic Svraka
Dragan Svraka
Aleksandar Milivojac
Rajko Dodik
Stanislav Palija
Slavko Manojlovic
Publication date: 30-04-2024
Publisher: Springer Berlin Heidelberg
Keywords: Spinal Anesthesia
Hip-TEP
Hip-TEP
Nerve Block
Hypotension
Hypotension
Published in: International Orthopaedics
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-024-06187-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Enhancing postoperative recovery in total hip arthroplasty: the role of pericapsular nerve group and lateral cutaneous nerve block under spinal anaesthesia

Abstract

Aim of the study

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim of the study

Methods

Results

Conclusion

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