Total Hip Arthroplasty
Regional anesthesia is associated with a lower opioid consumption in both knee and hip replacement surgeries, compared to general anesthesia.
Intraoperative periarticular local anesthetic infiltration and psoas compartment block may provide comparable analgesia after total hip arthroplasty.
Fewer respiratory, GI issues; reductions also seen in opioid prescriptions and hospital length of stay
The available evidence suggests that radiofrequency ablation is a feasible treatment option for chronic hip pain associated with degenerative diseases.
Patients undergoing total hip and total knee arthroplasties in small- and medium-sized hospitals have been receiving increasingly greater multimodal approaches for postoperative pain management.
The use of perioperative intravenous corticosteroids provides effective pain relief, has a favorable safety profile, and is associated with a reduction in opioid use in patients undergoing total knee or hip arthroplasty.
Adding a sciatic nerve block to a continuous femoral nerve block after total hip arthroplasty significantly reduces pain.
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