Regional anaesthesia

Comparison of two peripheral regional analgesic techniques for primary elective total hip arthroplasty: a randomised clinical trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

We found no statistically or clinically relevant difference between two motor-sparing peripheral regional analgesic techniques among patients undergoing primary elective total hip arthroplasty with multimodal analgesia.

Study context

Population
Patients undergoing primary elective unilateral total hip arthroplasty under spinal anaesthesia with standardised multimodal analgesiacompleted the study
Participants
62 patients
Comparison
PENG + lateral femoral cutaneous nerve blocks vs ESP block
  • Anteriorn = 31
  • Posteriorn = 31reference
Primary endpoint
IV morphine consumption
Follow-up
First 24 h postoperatively

Primary result

As reported in the abstract

Morphine consumption at 24 h · 24 h

P > 0.99

Secondary outcomes

Pain scores, sensory block, complications, chronic postsurgical pain

No differences in any of the secondary outcome measures between groups

Safety

OutcomeAnteriorPosteriorP value
Motor block1/315/31P = 0.09

Original publication

Comparison of two peripheral regional analgesic techniques for primary elective total hip arthroplasty: a randomised clinical trial. Anaesthesia. Published 21 July 2025. doi:10.1111/anae.16689

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