Extracapsular local infiltration analgesia in hip arthroscopy: a retrospective study

摘要: Many hip arthroscopy patients experience significant pain in the immediate postoperative period. Although peripheral nerve blocks have demonstrated efficacy alleviating some of this pain, they come with costs. Local infiltration analgesia (LIA) may be a significantly cheaper and efficacious treatment modality. LIA has been well studied knee arthroplasty, its is unclear. The purpose retrospective study to determine single extracapsular injection bupivacaine-epinephrine during reducing rate elective femoral blocks. A review 100 consecutive who underwent primary at medical center was performed. control group consisted 50 before implementation current protocol, whereas another received 20-ml 0.25% under direct arthroscopic visualization after capsular closure. In post-anesthesia care unit (PACU), were offered block for uncontrolled pain. block, total opioid consumption, compared between groups. proportion receiving less (34%) as (56%; P = 0.027). There no difference PACU consumption groups (P 0.740). decreased utilization observed suggests that improve management should considered potentially cost-effective tool patients. Level Evidence: III.