Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S1:E5 "Hip-Op-Hooray! (Nerve blocks for hip surgery and hip fracture)"
6 snips
Feb 2, 2023 AI Snips
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Prefer Spinal For Safer Hips
- Choose spinal anesthesia for hip arthroplasty when feasible because large data show fewer major complications than GA.
- Prefer short-acting spinal agents for faster recovery and earlier mobilization when OR timing is reliable.
Use Short‑Acting Spinals For Day Cases
- Use short-acting spinal agents (e.g., 2% lidocaine or 2% prilocaine/mepivacaine) for ambulatory hip cases to enable early mobilization.
- Coordinate OR timing and communicate via a team text chain to avoid spinals wearing off mid-case.
Favor Ultrasound Blocks For Consistency
- Prefer ultrasound-guided blocks over surgeon infiltration for consistency and reproducible analgesia.
- If combining surgeon infiltration and blocks, coordinate total local anesthetic doses to avoid toxicity or redundancy.