Key result
Ultrasound-guided 3-in-1 nerve block significantly prolonged the duration of postoperative analgesia (10 vs 4.67 hours) and reduced 24-hour tramadol consumption compared to standard analgesia.
Why the study?
Pain control after hip fractures is challenging in elderly patients due to potential cardiovascular and respiratory complications from opioids, prompting evaluation of alternative analgesic efficacy.
Does a three-in-one nerve block improve postoperative analgesia in patients undergoing hip hemiarthroplasty?
RCT (n=60)
computer-based randomization software
No
Does a three-in-one nerve block improve postoperative analgesia in patients undergoing hip hemiarthroplasty?
A three-in-one nerve block significantly improves postoperative analgesia and reduces rescue analgesic consumption in patients undergoing hip hemiarthroplasty.
May prolong analgesia after hip hemiarthroplasty; leaves open confirmation in randomized trials.
Background and aims: Hip fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular and respiratory complications from opiate administration. The aim of the study was to compare three in one (3-in-1) nerve block with control regarding its analgesic efficacy in patients following hip hemiarthroplasty surgeries. Materials and Methods: Sixty patients of ASA status I or II undergoing hip hemiarthroplasty surgeries under subarachnoid block were divided into 2 groups to receive 3-in-1 nerve block (Group 1) and Control (Group 2). Each patient was assessed for VAS score, tramadol consumption postoperatively in the PACU. Results: There was significant difference between the group 3-in-1 nerve block and control group regarding the postoperative analgesia, total rescue analgesia consumption in 24 h postoperative. The mean VAS score at 2, 4, 6,8 h and total rescue analgesia consumption in 24 h were higher in control group which was statistically significant (p value<0.05). Conclusion: Three in one nerve block provide better postoperative analgesia after hip hemiarthroplasty surgeries when compare to control.
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Nivetha et al. (2022) conducted an RCT in Hip hemiarthroplasty (n=60). Ultrasound-guided 3-in-1 nerve block vs. Standard analgesic regimen was evaluated on Duration of analgesia (hours) (p=<0.0001). Ultrasound-guided 3-in-1 nerve block significantly prolonged the duration of postoperative analgesia (10 vs 4.67 hours) and reduced 24-hour tramadol consumption compared to standard analgesia.
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