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P211 Analgesic efficacy of the iliopsoas plane block in total hip arthroplasty: a case series

rapm · 2025-09-10 · canonical JSON source

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Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims Hip surgery patients frequently experience moderate to severe pain following surgery, which makes it difficult for them to mobilize quickly, lengthens their hospital stay, and impairs their ability to function after the procedure. Opioids as the primary medication used to manage pain following surgery are linked to a number of unfavorable side effects.Iliopsoas plane block (IPB) is a recently developed motor-sparing regional technique targets the hip joint’s sensory branches that originate from the femoral nerve and the accessory obturator nerve thereby increases the patient outcome in terms of early recovery, mobilisation and patient’s satisfaction. AIMS:To assess the analgesic efficacy of iliopsoas plane in patients undergoing total hip arthroplasty and primary objective is to see 24 hour morphine requirement.Methods We have described the use of iliopsoas plane block in eight patients who underwent Total Hip Replacement surgery under general anesthesia.Intravenous injections of Fentanyl (2 μg/kg), Propofol (2 mg/kg), and Atracurium (0.5 mg/kg) was used to administer general anaesthesia (GA) followed by which endotracheal intubation was done. Ultrasound guided iliopsoas plane block was given with 10 ml of 0.5% of ropivacaine.. Each patient were received paracetamol 15 mg/kg after induction and also used Post operatively 8th hourly, PCA pump was attached to every patient for 24 hr with a bolus dose of 1 mg and lockout time of 10 min. 24 hr morphine consumption was assessed postoperatively at 1 hr, 6 hr, 12 hr and 24 hr postoperatively.Results The mean (SD) opioid consumption came out to be 10.88 ±4.19 mg . No knee extension was possible in 7 patients in 1 hr, 6 hr, 12 hr and 24 hr. Only 1 subject showed extension against gravity in 24 hr assessment. No postoperative motor block was recorded.Abstract P211 Figure 1US guided: an iliopsoas plane blockConclusions Can be considered as alternative to PENG and SIFI Block. large RCT may be needed to confirm efficacy .