Pain medicine

Iliopsoas plane block does not improve pain after primary total hip arthroplasty in the presence of multimodal analgesia: a single institution randomized controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Primary resultResult — go to the resultMedian difference −1.0 95% CI −2.0 to 0.0

Authors' conclusion

Iliopsoas plane block did not improve postoperative analgesia following total hip arthroplasty under general anesthesia with a multimodal analgesic regimen.

Study context

Population
Adults undergoing elective primary hip arthroplasty under GA with multimodal analgesia
Participants
56 adults
Comparison
Single-shot iliopsoas plane block vs sham block
Primary endpoint
NRS pain score at rest
Follow-up
6 hour after surgery
Methodological detailssingle-centre, sham-controlled
  • Single-centre
  • Sham-controlled

Primary result

As reported in the abstract

Median difference

−1.0

95% CI −2.0 to 0.0

P ≥ 0.999

By group

Iliopsoas plane block

4.0

median · IQR 2.0–5.8

Sham

5.5

median · IQR 2.3–6.8

Iliopsoas plane block vs Sham
median difference −1.0 (95% CI −2.0 to 0.0); P ≥ 0.999

Further findings

Pain scores, opioid consumption, quadriceps strength, quality of recovery (linear mixed model)

No differences between the groups

Original publication

Iliopsoas plane block does not improve pain after primary total hip arthroplasty in the presence of multimodal analgesia: a single institution randomized controlled trial. Reg Anesth Pain Med. Published 29 January 2024. doi:10.1136/rapm-2023-105092

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