Update on Selective Regional Analgesia for Hip Surgery Patients. Anesthesiology clinics Bugada, D. n., Bellini, V. n., Lorini, L. F., Mariano, E. R. 2018; 36 (3): 403–15

Abstract

In hip surgery, regional anesthesia offers benefits in pain management and recovery. There are a wide range of regional analgesic options; none have shown to be superior. Lumbar plexus block, femoral nerve block, and fascia iliaca block are the most supported by published literature. Other techniques, such as selective obturator and/or lateral femoral cutaneous nerve blocks, represent alternatives. Newer approaches, such as quadratus lumborum block and local infiltration analgesia, require rigorous studies. To realize long-term outcome benefits, postoperative regional analgesia must be tailored to the individual patient and last longer.

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