PROSPECT guideline for total hip arthroplasty: updated systematic review and procedure‐specific postoperative pain management recommendations
Methodological detailsupdated systematic review and procedure-specific recommendations
- Updated systematic review and procedure-specific recommendations
Recommendations
As issued by the authors
Scheduled paracetamol and NSAIDs, combined with a single IV dose of dexamethasone (≤ 10 mg)
Low-dose intrathecal morphine (0.1 mg) may be considered with spinal anaesthesia in hospitalised patients
Supra-inguinal fascia iliaca compartment block and pre-operative PENG block preferred regional techniques
QL and lumbar ESP blocks not recommended (inconsistent efficacy, increased risk of motor weakness)
Single-shot local infiltration analgesia an alternative when regional techniques are unavailable
Original publication
PROSPECT guideline for total hip arthroplasty: updated systematic review and procedure‐specific postoperative pain management recommendations. Anaesthesia. Published 20 July 2026. doi:10.
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