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Regional analgesia for total hip arthroplasty and Schwartz's paradox

HEWSON, DAVID; Macfarlane, Alan; Scott, Chloe

Authors

Dr DAVID HEWSON David.Hewson@nottingham.ac.uk
CLINICAL ASSOCIATE PROFESSOR IN ANAESTHETICS

Alan Macfarlane

Chloe Scott



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