Nerve blocks or no nerve blocks for pain control after elective hip replacement (arthroplasty) surgery in adults.

The Cochrane Database of Systematic Reviews
Joanne GuaySandra Kopp

Abstract

It is estimated that over 300,000 total hip replacements are performed each year in the USA. For European countries, the number of hip replacement procedures per 100,000 people performed in 2007 varied from less than 50 to over 250. To facilitate postoperative rehabilitation, pain must be adequately treated. Peripheral nerve blocks and neuraxial blocks have been proposed to replace or supplement systemic analgesia. We aimed to compare the relative effects (benefits and harms) of the different nerve blocks that may be used to relieve pain after elective hip replacement in adults. We searched the Cochrane Central Register of Controlled Trials (CENTRAL, Issue 12, 2016), MEDLINE (Ovid SP) (1946 to December Week 49, 2016), Embase (Ovid SP) (1980 to December week 49, 2016), CINAHL (EBSCO host) (1982 to 6 December 2016), ISI Web of Science (1973 to 6 December 2016), Scopus (from inception to December 2016), trials registers, and relevant web sites. We included all randomized controlled trials (RCTs) performed in adults undergoing elective primary hip replacement and comparing peripheral nerve blocks to any other pain treatment modality. We applied no language or publication status restrictions. Data were extracted independently by two...Continue Reading

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Citations

Jul 25, 2019·Revista da Associação Médica Brasileira·Paola LecompteClaudia Quiroga Garzon
Mar 4, 2020·Journal of the American Geriatrics Society·Mark D NeumanMeghan B Lane-Fall

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