Perioperative analgesia by 3-in-one block in total hip arthroplasty. Prospective randomized blind study.
In a prospective randomized blind study of 182 patients undergoing total hip arthroplasty, the patients per- and postoperative need for analgesics was assessed in two groups, one receiving general anesthesia and a 3-in-one block, the other group only general anesthesia. Although we found a significant reduction in analgesics per- and postoperatively in the 3-in-one block group, the difference in analgesics was small and has no clinical relevance in the patient with a healthy cardiovascular status. We conclude that 3-in-one block in combination with light general anesthesia is not the anesthetic of choice in total hip arthroplasty using the posterior approach.
Uhrbrand
B
B
Department of Orthopaedic Surgery, Sønderborg Hospital, Denmark.
Jensen
T T
TT
Bendixen
D K
DK
Hartmann-Andersen
J F
JF
D000368:Aged; D000369:Aged, 80 and over; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D005267:Femoral Nerve; D006621:Hip Joint / Q000294:innervation; D006622:Hip Prosthesis; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D011446:Prospective Studies
D008012:Lidocaine; D002045:Bupivacaine