What question did this study set out to answer?

To compare the analgesic efficacy and side-effect profile of an opioid-free continuous psoas compartment block against continuous intravenous morphine and ketorolac infusion after total hip arthroplasty.

November 21, 2007European Journal of Anaesthesiology

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

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Authors

CBChiara BecchiAzienda Ospedaliero-Universitaria Careggi MMM. Al MalyanKing Faisal Specialist Hospital & Research Centre RCRaffaele CoppiniElectrophysiology

Discussion

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Implication

Randomized single-blind trial demonstrates superior pain relief and reduced nausea with continuous psoas block in hip arthroplasty, indicating an effective opioid-free alternative.

Key Points

To compare the analgesic efficacy and side-effect profile of an opioid-free continuous psoas compartment block against continuous intravenous morphine and ketorolac infusion after total hip arthroplasty.
Prospective, single-blind randomized trial evaluating 73 patients (ASA I–III, aged 61–82 years) undergoing total hip arthroplasty under spinal anesthesia.
Patients were randomized to receive either continuous psoas compartment block with ropivacaine (Group A, n=37) or continuous intravenous infusion of morphine and ketorolac (Group B, n=36) for 48 hours.
Patients receiving the continuous psoas compartment block maintained lower median pain scores both at rest and during physiotherapy over 48 hours compared to intravenous infusion.
The psoas compartment block group required less rescue analgesia and experienced lower rates of postoperative nausea and vomiting than the intravenous opioid/ketorolac group.

Cite This Study

Becchi et al. (2007) studied this question.

synapsesocial.com/papers/6a8c2909fe910689a28945d8 https://doi.org/10.1017/s026502150700302x

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Implication

Randomized single-blind trial demonstrates superior pain relief and reduced nausea with continuous psoas block in hip arthroplasty, indicating an effective opioid-free alternative.

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Discussion

Member takes

Implication

Key Points

Cite This Study

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Discussion

Member takes

Implication

Key Points

Cite This Study

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