Erector spinae plane versus fascia iliaca block after total hip arthroplasty: a randomized clinical trial comparing analgesic effectiveness and motor block

Article Anesthesiology

Effect of suprainguinal fascia iliaca compartment block on postoperative opioid consumption and functional recovery in posterolateral-approached total hip arthroplasty: a single-blind randomized controlled trial

Michele Carella et al.

Summary: This study found that suprainguinal fascia iliaca compartment block (SFICB) can reduce morphine consumption, improve postoperative pain control, and promote functional recovery in total hip arthroplasty.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2022)

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Editorial Material Anesthesiology

Fast-track hip and knee arthroplasty ... how fast?

Thomas W. Wainwright et al.

BRITISH JOURNAL OF ANAESTHESIA (2021)

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Article Anesthesiology

Pharmacokinetics of lidocaine after bilateral ESP block

Alessandro De Cassai et al.

Summary: The study reports the pharmacokinetics of lidocaine in the context of ESP block in 10 patients undergoing lumbar spine surgery. The results showed rapid absorption and high bioavailability of lidocaine, with peak concentrations well below toxicity limits. Age was found to have a negative correlation with the elimination half-life of lidocaine.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Article Anesthesiology

Anatomical basis of erector spinae plane block: a dissection and histotopographic pilot study

Daniele Bonvicini et al.

Summary: This study investigated the ventral extent of dye diffusion in ESP block through anatomical dissection on fresh-frozen corpses. The results showed that the dye could spread both dorsally and ventrally from the site of injection, following blood vessels and spinal nerves, suggesting a paravertebral block-like diffusion pattern.

JOURNAL OF ANESTHESIA (2021)

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Letter Anesthesiology

Lumbar erector spinae plane block: a miracle or self-persuasion?

Serkan Tulgar et al.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Review Anesthesiology

Anatomical considerations for obturator nerve block with fascia iliaca compartment block

Thomas Fichtner Bendtsen et al.

Summary: The report reviews the anatomical features relevant for determining the effectiveness of an obturator nerve block using a fascia iliaca compartment block. Since the obturator nerve does not cross the fascia iliaca compartment, creating an artificial pathway would be necessary for the block to be effective.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Article Anesthesiology

Impact of the pericapsular nerve group (PENG) block on postoperative analgesia and functional recovery following total hip arthroplasty: a randomised, observer-masked, controlled trial

G. Pascarella et al.

Summary: The pericapsular nerve group block significantly reduced pain and opioid consumption, improved hip motion range, and promoted early functional recovery in patients undergoing total hip arthroplasty.

ANAESTHESIA (2021)

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Article Anesthesiology

PROSPECT guideline for total hip arthroplasty: a systematic review and procedure-specific postoperative pain management recommendations

M. Anger et al.

Summary: This systematic review identified specific interventions that can effectively improve postoperative pain management, including medications and nerve blocks. Surgical and anesthetic techniques have minimal impact on postoperative pain, suggesting the choice should be based on other criteria.

ANAESTHESIA (2021)

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Review Anesthesiology

Procedure-specific acute pain trajectory after elective total hip arthroplasty: systematic review and data synthesis

Paul Panzenbeck et al.

Summary: The study conducted a systematic search and analysis of analgesic trials for total hip arthroplasty (THA), finding that in most patients undergoing THA under general anaesthesia, postoperative acute pain should subside to a mild level within 4 hours. However, there remains a substantial knowledge gap in the management of patients with chronic pain and opioid dependence.

BRITISH JOURNAL OF ANAESTHESIA (2021)

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Review Anesthesiology

Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature

Stavros G. Memtsoudis et al.

Summary: Analysis of 122 studies showed that the use of PNB in total hip and knee arthroplasties was associated with lower odds ratios for various complications, recommending its use for improved outcomes in these surgeries.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Review Anesthesiology

Mechanisms of action of fascial plane blocks: a narrative review

Ki Jinn Chin et al.

Summary: The mechanisms of action of fascial plane blocks include local effects on nociceptors and neurons, as well as potential systemic effects through vascular absorption of local anesthetic. The extent of spread, analgesia, and cutaneous sensory loss is variable and imperfectly correlated, with factors such as anatomical variation and pharmacodynamics influencing the efficacy of the blocks.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Article Anesthesiology

Randomized comparison between pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block for total hip arthroplasty

Julian Aliste et al.

Summary: This study compared the efficacy of pericapsular nerve group block and suprainguinal fascia iliaca block in patients undergoing primary total hip arthroplasty, with results showing that pericapsular nerve group block was superior in terms of quadriceps motor block and preservation of hip adduction.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Article Anesthesiology

Quadratus lumborum block type 3 versus lumbar plexus block in hip replacement surgery: a randomized, prospective, non-inferiority study

Javier J. Polania Gutierrez et al.

Summary: The study found that QLB3 provides non-inferior analgesia compared with LPB for hip replacement surgery, reducing the occurrence of quadriceps weakness and requiring less time to perform compared with LPB.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

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Article Anesthesiology