The use of fascia iliaca block and pericapsular nerve group block in the framework of multimodal analgesia after primary hip replacement (literature review)
https://doi.org/10.24884/2078-5658-2025-22-6-117-127
Abstract
Introduction. Total hip arthroplasty is currently the standard treatment for end-stage osteoarthritis. However, this type of surgery is associated with the development of intense postoperative pain. Modern approaches to pain management are based on the principle of multimodal analgesia, which widely utilizes various methods of local anesthesia. The recent development of ultrasound technology and its integration into anesthesiology has significantly improved the safety and efficacy of peripheral nerve blocks. This review discusses the clinical efficacy of two popular peripheral nerve blocks used in multimodal analgesia regimens: the Fascia Iliaca Block and the Pericapsular Nerve Group Block.
Materials and methods. The search for publications (1973–2024) was carried out in databases eLibrary.ru, PubMed, Google Scholar. A total of 50 publications were included, of which 45 were clinical studies.
Conclusion. Current evidence generally confirms the effectiveness of using regional anesthesia techniques such as FIB and PENG block as a part of multimodal analgesia in patients after primary THA. This approach provides an opioid-sparing effect, reduces the risk of various complications, and promotes early mobilization. However, there are currently insufficient data to provide clear recommendations for most aspects of the application of these blocks.
About the Authors
M. V. Kuzmina
Pavlov University
Russian Federation
Russian Federation
Kuzmina Maria V., Anesthesiologist-Intensivist of the Department of Anesthesiology and Intensive Care № 2 of the Scientific and Clinical Center of Anesthesiology and Intensive Care Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
K. N. Khrapov
Pavlov University
Russian Federation
Russian Federation
Khrapov Kirill N., Dr. of Sci. (Med.), Professor of the Department of Anesthesiology and Intensive Care, Chief Research Fellow of the Scientific and Clinical Center of Anesthesiology and Intensive Care Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
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Review
For citations:
Kuzmina M.V., Khrapov K.N. The use of fascia iliaca block and pericapsular nerve group block in the framework of multimodal analgesia after primary hip replacement (literature review). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2025;22(6):117-127. (In Russ.) https://doi.org/10.24884/2078-5658-2025-22-6-117-127
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