Are Femoral Nerve Blocks Effective for Early Postoperative Pain Management After Hip Arthroscopy?

Ward, James; Albert, David B.; Altman, Robert A.; Goldstein, Rachel Y.; Cuff, Germaine; Youm, Thomas

doi:10.1016/j.arthro.2012.01.003

Cited by 74 publications

(69 citation statements)

References 14 publications

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“…In a study by Ward et al [6] 40 patients were to receive either morphine or a femoral nerve block postoperatively if their VAS score was 7 or higher. In total 36 of 40 patients reported a VAS of 7 or higher; a remarkable high number that indicates general anesthesia was insufficient for 90% of these patients.…”

Section: Resultsmentioning

confidence: 99%

“…Ward et al [6] reported significantly less nausea, shorter PACU times and higher rates of satisfaction in their FNB group compared to intravenous morphine. Unfortunately, no VAS scores were reported after intervention and only a dichotomous yes or no was scored for patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, no VAS scores were reported after intervention and only a dichotomous yes or no was scored for patient satisfaction. In the study of Ward et al [6] a FNB was given if PACU pain scores were 7 or higher, in Dold’s study patients received a pre-operative block. This might explain great postoperative differences in PACU pain scores between both studies.…”

Section: Discussionmentioning

confidence: 99%

“…Patient satisfaction measured as dichotomous outcomes. The included RCT’s should be analysed with care since 3 of the 5 comparative studies did not report any power analysis [6, 15, 8]. Only Baker et al [16] and Yadeau et al [17] performed an adequate calculation, where Baker et al .…”

Section: Limitationsmentioning

confidence: 99%

“…A study by Ward et al [6] report of 90% of all patients experience moderate to severe pain after hip arthroscopy defined as a pain score of 7 or more on the visual analogue scale (VAS). Lee et al [7] makes notice of even higher VAS scores (between 8 and 10) in the post anesthesia care unit (PACU).…”

Section: Introductionmentioning

confidence: 99%

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Perioperative pain management in hip arthroscopy; what options are there?

et al. 2016

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Hip arthroscopy is a fast growing orthopedic field of expertise. As in any field of surgery adequate postoperative pain management regimes are of utmost importance. The purpose of this review is to provide an overview of current knowledge on anesthetic options for perioperative pain management for hip arthroscopy. We searched the Pubmed/Medline and Embase database for literature and included 10 studies for our analysis. Because of the variety of pain scales and different ways of measured pain no meta-analysis could be performed and a descriptive review is performed. There are several types of pain regimens that can mostly be divided in two groups: local anesthetics and nerve blocks. Included studies show a rather large variation in reported visual analogue scale scores, post anesthesia care unit admission time and opioid usage. There are several anesthetic options available for hip arthroscopy. Different studies use different dosages, anesthetic regimens and different protocols; this partly explains the differences between studies with similar techniques. Peripheral nerve blocks seems promising but regarding current literature no clear recommendation can be made about what the best perioperative pain management option is, an overview of all reported techniques is given.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%