Regional Anesthesia for Hip Surgery Patients: Review Article

Abstract

Successful postoperative pain control is one of the keys on the patients’ recovery after surgery, especially in the hip fracture and hip reconstruction surgery. Currently, the concept on pain management with multimodal analgesia and regional anesthesia plays a key role for postoperative analgesia and has demonstrated the ability of enhancing postoperative recovery, reducing opioids consumption, and decreasing the time to mobilization. Nonetheless, the development of new regional analgesic techniques has evolved in the past four decades and can be intimidating to the general anesthesiologists. Therefore, the present article aimed to provide a concise review of the hip innervation and the current regional analgesic techniques as a practical guide for the perioperative pain management after hip surgery. Keywords: Total hip replacement; Hip fracture; Hip nerve innervation; Lumbar plexus block; Femoral nerve block; Fascia iliaca block; Pericapsular nerve group block; Quadratus lumborum block; Erector spinae plane block; Local infiltration analgesia; Postoperative analgesia