Pain medicine

Subpectineal obturator nerve block reduces opioid consumption after hip arthroscopy: a triple-blind, randomized, placebo-controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

We found a significant reduction in the opioid consumption for patients receiving an active subpectineal obturator nerve block. The postoperative intravenous morphine equivalent reduction the first painful 3 hours was reduced by 40% for patients receiving a subpectineal obturator nerve block in this randomized, triple-blind trial.

Study context

Population
Ambulatory hip arthroscopy patients34 analysed for primary outcome
Participants
40 patients
Comparison
Preoperative subpectineal obturator nerve block vs placebo block
Primary endpoint
Opioid consumption in the PACU (IV morphine equivalents)
Follow-up
First 3 hours
Methodological detailstriple-blind, placebo-controlled
  • Triple-blind
  • Placebo-controlled

Primary result

As reported in the abstract

IV morphine equivalent consumption · first 3 hours in PACU

P < 0.001

Secondary outcomes

Hip adductor strength

Significantly reduced in the active group

Pain and nausea

No other intergroup differences observed

Original publication

Subpectineal obturator nerve block reduces opioid consumption after hip arthroscopy: a triple-blind, randomized, placebo-controlled trial. Reg Anesth Pain Med. Published 25 June 2024. doi:10.1136/rapm-2024-105638

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