Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty

Objectives: Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome. Methods: A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. The control group (N=132) received spinal anesthesia with periarticular injection (PAI) and the treatment group (N=78) received transmuscular quadratus lumborum block and lateral femoral cutaneous nerve block in addition to spinal anesthesia and PAI. The primary outcome was visual analog scale (VAS) pain score on postoperative day (POD) 1, and secondary outcomes included VAS and opioid consumption on each POD, hospitalization cost, length of stay, and discharge acuity. Results: The mean VAS and opioid consumption (MME) were significantly lower in the treatment group than that in the control group on POD 1, with VAS difference −1.10 (95% confidence interval, −1.64 to −0.55), false discover rate corrected (P
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research