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