The Pericapsular Nerve Group Block for Perioperative Pain Management for Hip Arthroscopy
Fernicola, I Jacob Tannehill, Christopher J Tucker, W Robert Volk, Jonathan F Dickens, Fernicola, I Jacob Tannehill, Christopher J Tucker, W Robert Volk, Jonathan F Dickens
Abstract
Perioperative pain control for hip arthroscopy procedures represents a significant challenge for both surgeons and anesthetists. In light of the opioid crisis, greater emphasis has been placed on multimodal pain control techniques. There is considerable debate regarding regional nerve blockade for hip arthroscopy. Although regional anesthesia has a significant role in perioperative pain management strategies, many of the most common techniques present their own risks and limitations. In particular, the less desirable effects of postoperative weakness in the lower extremity and difficulty with ambulation are commonly produced with standard regional blockades. We present a technique for performing a targeted, sensory nerve block that can be done efficiently and safely in the immediate preoperative period. This block can potentially lower the intraoperative and postoperative opioid requirements without the risks of muscle blockade and falls from other regional anesthesia modalities.
© 2021 Published by Elsevier on behalf of the Arthroscopy Association of North America.
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References
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Source: PubMed