Journal article

Impact of Local Infiltration Analgesia on the Quality of Recovery After Anterior Total Hip Arthroplasty: A Randomized, Triple-Blind, Placebo-Controlled Trial

Nicole L Tan, Robert Gotmaker, Michael J Barrington

Anesthesia & Analgesia | LIPPINCOTT WILLIAMS & WILKINS | Published : 2019


BACKGROUND: Local infiltration analgesia (LIA) is commonly used in anterior total hip arthroplasty (THA) surgery; however, evidence for its efficacy is lacking. We hypothesized that LIA with 0.2% ropivacaine when compared with injection of placebo (0.9% saline) would improve patient quality of recovery on postoperative day (POD) 1, as measured by the Quality of Recovery-15 (QoR-15) score. METHODS: Patients scheduled to have a primary unilateral anterior THA with a single surgeon in a tertiary level metropolitan hospital were randomized to receive LIA with either 2.5 mL/kg of 0.2% ropivacaine or 0.9% saline as placebo. Patients and clinical and study personnel were blinded to group allocation..

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Funding Acknowledgements

This trial was funded by grants from the Anaesthesia and Pain Medicine Foundation, Australian and New Zealand College of Anaesthetists and the Epworth Research Institute.