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EP093 Complete pericapsular hip block using combined PENG and deep posterior gluteal compartment (DPGC) blocks compared to LIA for postoperative analgesia in elective THA
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EP093 Complete pericapsular hip block using combined PENG and deep posterior gluteal compartment (DPGC) blocks compared to LIA for postoperative analgesia in elective THA
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EP093 Complete pericapsular hip block using combined PENG and deep posterior gluteal compartment (DPGC) blocks compared to LIA for postoperative analgesia in elective THA
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Journal Article
EP093 Complete pericapsular hip block using combined PENG and deep posterior gluteal compartment (DPGC) blocks compared to LIA for postoperative analgesia in elective THA
2025
Overview
Background and AimsCommon blocks for THA (total hip arthroplasty) mainly target pain originating from the anterior part of the hip, overlooking posterior capsule’s contribution to the overall pain. Our study aims to evaluate the benefit and safety of a complete pericapsular hip block compared with local infiltration analgesia (LIA).MethodsMedical files of patients scheduled for elective THA were retrospectively analysed. Over the past two months, 26 patients who received a preoperative ultrasound-guided complete pericapsular hip block were matched (for age, sex and BMI) with 26 patients receiving intra-operative LIA by surgeon. The type of hip local analgesia was left to the discretion of the anaesthesiologist. All THA were performed under general anaesthesia and postoperative analgesia was standardised. Time before first rescue analgesia and morphine dose in PACU, total morphine consumption at 48 h were noted.ResultsAge was 68±10 years, BMI was 28±5.5 and preoperative opioid intake was reported by 2/26 and 3/26 patients, respectively in complete hip block and LIA group. Results are detailed in table 1. No side effects related to any analgesic technique were noticed.ConclusionsThe findings suggest that an effective complete pericapsular hip block may offer superior prolonged postoperative analgesia and opioid-sparing effects compared to a surgical LIA.Abstract EP093 Table 1Comparison of postoperative morphine requirements between the pericapsular hip block group and the LIA matched group. Data include PACU rescue morphine parameters (time to first rescue, dose and proportion not requiring rescue) and cumulative morphine consumption on the ward over 48 hours.
