Lumbar plexus block as a method of postoperative analgesia after hip surgery

Anis, Sherif; Moaty, Nabil Abd El; Youssef, Ayda; Ramzy, Raouf; Hassan, Raham

doi:10.1016/j.egja.2011.02.001

Cited by 6 publications

(17 citation statements)

References 12 publications

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“…The controls employed several techniques, including fascia iliaca block (FIB), femoral nerve block (FNB), quadratus lumborum block (QLB), Supra-Inguinal Fascia Iliaca Block (SIFIB), Paravertebral Block (PVB), Lumbosacral Plexus Block (LSPB), Lumbar Erector Spinae Plane Block (LESPB), PCA (Patient-Controlled Analgesia), and PCEA (Patient-Controlled Epidural Analgesia). The sample sizes ranged from 34 to 225 with a total of 1687 patients, and the studies were conducted in seven countries, with the majority being in the USA; ten studies [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ] were conducted in the USA, two [ 26 , 27 ] in Switzerland, two [ 28 , 29 ] in India, two [ 30 , 31 ] in China, two [ 32 , 33 ] in Serbia, one [ 34 ] in Chile, and one [ 15 ] in Egypt. The trials utilized pain scores, including VAS pain scores, NRS pain scores, and opioid consumption, as crucial outcome measures to examine the efficacy of analgesic interventions.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Continuous Lumbar Plexus Blockade in Managing Post-Operative Pain after Hip or Femur Orthopedic Surgeries: A Systematic Review and Meta-Analysis

AlMutiri,

AlMajed,

Alneghaimshi

et al. 2024

JCM

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Background: Post-operative pain management is essential for optimizing recovery, patient comfort, and satisfaction. Peripheral nerve blockade, or lumbar plexus block (LPB), has been widely used for analgesia and regional anesthesia. This study explored the existing literature to determine the efficacy of continuous lumbar plexus blockade in managing post-operative pain following hip or femur surgery. Methods: Reviewers comprehensively searched electronic databases to identify peer-reviewed scholarly articles reporting the efficacy of lumbar plexus block in managing post-operative pain after orthopedic surgery. The potential articles were carefully selected and assessed for the risk of bias using the Cochrane Collaboration Risk of Bias assessment tool. Data were systematically extracted and analyzed. Results: The literature search yielded 206 articles, 20 of which were randomized controlled trials. Lumbar plexus block demonstrated superior pain relief compared to conventional pain management approaches like general anesthetics. In addition, LPB reduced patients’ overall opioid consumption compared to controls, reduced adverse effects, and enhanced functional recovery, which underlines the broader positive impact of meticulous pain management. More patients could walk more than 40 feet after the second day post-operatively among the lumbar plexus group (14.7%) compared to the continuous femoral group (1.3%). Other parameters, including cortisol levels and hemodynamic stability, were evaluated, showing comparable outcomes. Conclusions: Lumbar plexus block is effective in pain management after orthopedic surgery, as shown by the lower pain scores and less opioid consumption. Additionally, patient satisfaction was relatively higher in LPB-treated patients compared to other approaches like general anesthesia.

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Section: Resultsmentioning

confidence: 99%

Efficacy of Continuous Lumbar Plexus Blockade in Managing Post-Operative Pain after Hip or Femur Orthopedic Surgeries: A Systematic Review and Meta-Analysis

AlMutiri,

AlMajed,

Alneghaimshi

et al. 2024

JCM

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“…In lower limb procedures, 2 RCTs were performed on total knee arthroplasty and the modalities used were sub-arachnoid block, lumbar epidural and intra articular infiltration of local anaesthetic drugs. Different local anaesthetic agents were compared in different concentrations [ 55 , 56 ] Two RCTs were done on hip surgery [ 57 , 62 ] and two were on generalized lower limb procedures [ 58 , 60 ]. Lumbar plexus block, lumbar epidural, fascia iliaca compartment block and intravenous narcotics were compared.…”

Section: Resultsmentioning

confidence: 99%

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

et al. 2021

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Background Unrelieved postoperative pain afflicts millions each year in low and middle income countries (LMIC). Despite substantial advances in the study of pain, this area remains neglected. Current systematic review was designed to ascertain the types of clinical trials conducted in LMIC on postoperative pain management modalities over the last decade. Methods A comprehensive search was performed in June 2019 on PubMed, Cochrane Library, CINAHL Plus, and Web of Science databases to identify relevant trials on the management of postoperative pain in LMIC. Out of 1450 RCTs, 108 studies were reviewed for quality evidence using structured form of critical appraisal skill program. Total of 51 clinical trials were included after applying inclusion/exclusion criteria. Results Results are charted according to the type of surgery. Eleven trials on laparoscopic cholecystectomy used multimodal analgesia including some form of regional analgesia. Different analgesic modalities were studied in 4 trials on thoracotomy, but none used multimodal approach. In 11 trials on laparotomy, multimodal analgesia was employed along with the studied modalities. In 2 trials on hysterectomy, preemptive pregabalin or gabapentin were used for reduction in rescue analgesia. In 13 trials on breast surgical procedures and 10 on orthopaedic surgery, multimodal analgesia was used with some form of regional analgesia. Conclusion We found that over the past 10 years, clinical trials for postoperative pain modalities have evolved in LMIC according to the current postoperative pain management guidelines i.e. multi-modal approach with some form of regional analgesia. The current review shows that clinical trials were conducted using multimodal analgesia including but not limited to some form of regional analgesia for postoperative pain in LMIC however this research snapshot (of only three countries) may not exactly reflect the clinical practices in all 47 countries. Post Operative Pain Management Modalities Employed in Clinical Trials for Adult Patients in LMIC; A Systematic Review.

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“…Different local anaesthetic agents were compared in different concentrations [55,56] Two RCTs were done on hip surgery [57,62] and two were on generalized lower limb procedures [58,60]. Lumbar plexus block, lumbar epidural, fascia iliaca compartment block and intravenous narcotics were compared.…”

Section: Methodsmentioning

confidence: 99%

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

Afshan

Khan²,

Ahmed³

et al. 2020

Preprint

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Background: Unrelieved postoperative pain afflicts millions each year in low and middle income countries (LMIC). Despite substantial advances in the study of pain, this area remains neglected. Current systematic review was designed to ascertain the types of clinical trials conducted in LMIC on postoperative pain management modalities over the last decade. Methods: A comprehensive search was performed in June 2019 on PubMed, Cochrane Library, CINAHL Plus, and Web of Science databases to identify relevant trials on the management of postoperative pain in LMIC. Out of 1450 RCTs, 108 studies were reviewed for quality evidence using structured form of critical appraisal skill program. Total of 51 clinical trials were included after applying inclusion/exclusion criteria. Results:Results are charted according to the type of surgery. Eleven trials on laparoscopic cholecystectomy used multimodal analgesia including some form of regional analgesia. Different analgesic modalities were studied in 4 trials on thoracotomy, but none used multimodal approach. In 11 trials on laparotomy, multimodal analgesia was employed along with the studied modalities. In 2 trials on hysterectomy, preemptive pregabalin or gabapentin were used for reduction in rescue analgesia. In 13 trials on breast surgical procedures and 10 on orthopaedic surgery, multimodal analgesia was used with some form of regional analgesia. Conclusion: We found that over the past 10 years, clinical trials for postoperative pain modalities have evolved in LMIC according to the current postoperative pain management guidelines i.e. multi-modal approach with some form of regional analgesia. The current review shows that clinical trials were conducted using multimodal analgesia including but not limited to some form of regional analgesia for postoperative pain in LMIC however this research snapshot (of only three countries) may not exactly reflect the clinical practices in all 47 countries. Post Operative Pain Management Modalities Employed in Clinical Trials for Adult Patients in LMIC; A Systematic Review

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Lumbar plexus block as a method of postoperative analgesia after hip surgery

Cited by 6 publications

References 12 publications

Efficacy of Continuous Lumbar Plexus Blockade in Managing Post-Operative Pain after Hip or Femur Orthopedic Surgeries: A Systematic Review and Meta-Analysis

Efficacy of Continuous Lumbar Plexus Blockade in Managing Post-Operative Pain after Hip or Femur Orthopedic Surgeries: A Systematic Review and Meta-Analysis

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

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