Regional anaesthesia

Comparison of analgesic efficacy of pericapsular group of nerve block versus anterior quadratus lumborum block in adult patients undergoing unilateral hip arthroplasty: A comparative randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

There was no difference in the perioperative opioid consumption, pain scores, and adverse event rates between the pericapsular nerve group block and anterior quadratus lumborum block in adult patients undergoing unilateral hip arthroplasty.

Study context

Population
Adults >18 years undergoing elective unilateral total hip arthroplasty under spinal anesthesia, tertiary care center
Participants
92 adults
Comparison
PENG block vs anterior QL block
Primary endpoint
Total perioperative fentanyl consumption
Follow-up
First 24 h
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Total fentanyl consumption · 24 h

P = 0.617

Further findings

Time to first rescue analgesia · similar in both groups

P = 0.120

NRS pain scores at rest and on movement (0–24 h)

No difference in pain scores

Safety

No difference in intraoperative hemodynamic changes or PONV

Original publication

Comparison of analgesic efficacy of pericapsular group of nerve block versus anterior quadratus lumborum block in adult patients undergoing unilateral hip arthroplasty: A comparative randomized controlled trial. J Clin Anesth. Published 8 August 2026. doi:10.1016/j.jclinane.2026.112294

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