Regional analgesia for total hip arthroplasty and Schwartz's paradox

HEWSON, DAVID; Macfarlane, Alan; Scott, Chloe

Abstract

Enhanced recovery after total hip arthroplasty aims to facilitate return to function and early hospital discharge, but the role of novel fascial plane block techniques in such pathways is uncertain. A randomised trial by Kukreja and colleagues describes superior quality of recovery after hip arthroplasty in patients receiving a pericapsular nerve group (PENG) block. We discuss the trial findings in the context of ongoing uncertainty regarding best analgesic practice for this surgical procedure.

Citation

HEWSON, D., Macfarlane, A., & Scott, C. (2023). Regional analgesia for total hip arthroplasty and Schwartz's paradox. British Journal of Anaesthesia, 130(6), 650-654

• Journal Article Type: Editorial
• Acceptance Date: Mar 27, 2023
• Online Publication Date: Apr 26, 2023
• Publication Date: 2023-06
• Deposit Date: May 29, 2025
• Print ISSN: 0007-0912
• Electronic ISSN: 1471-6771
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 130
• Issue: 6
• Pages: 650-654
• Keywords: arthroplasty, enhanced recovery after surgery, hip replacement, PENG block, peripheral nerve block, regional anaesthesia
• Public URL: https://nottingham-repository.worktribe.com/output/49558396
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0007091223001654?via%3Dihub