Update on Selective Regional Analgesia for Hip Surgery Patients

Anesthesiol Clin. 2018 Sep;36(3):403-415. doi: 10.1016/j.anclin.2018.04.001. Epub 2018 Jul 11.

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.

Keywords: Fascia iliaca block; Femoral nerve block; Hip fracture; Local infiltration analgesia; Lumbar plexus block; Postoperative analgesia; Surgical outcome; Total hip replacement.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Hip / methods*
  • Hip / innervation
  • Humans
  • Nerve Block / methods*
  • Pain, Postoperative / prevention & control*