Preoperative Analgesia Strategies

Uses

Dosage & preparation

Risks & contraindications

Comparisons

Highlighted claims

• All trial participants receive background multimodal analgesia with intravenous flurbiprofen axetil 50 mg twice daily and a morphine rescue pump with a 30-minute lockout, capped at 60 mg per 24 hours. — Effect of preoperative liposomal bupivacaine single-injection pericapsular nerve group (PENG) block on lower extremity deep vein thrombosis in elderly patients with hip fractures: a randomised controlled, double-blind, prospective clinical study protocol
• Current clinical guidelines recommend multimodal preoperative analgesia for hip-fracture patients, including regional nerve blocks such as femoral nerve block, fascia iliaca block, and PENG block. — Effect of preoperative liposomal bupivacaine single-injection pericapsular nerve group (PENG) block on lower extremity deep vein thrombosis in elderly patients with hip fractures: a randomised controlled, double-blind, prospective clinical study protocol
• The trial introduces a function-based pain assessment focused on clinically meaningful hospital activities—eating while sitting, turning for hygiene care, and transferring for imaging—rather than passive limb elevation. — Effect of preoperative liposomal bupivacaine single-injection pericapsular nerve group (PENG) block on lower extremity deep vein thrombosis in elderly patients with hip fractures: a randomised controlled, double-blind, prospective clinical study protocol
• Continuous nerve blocks provide effective analgesia but can involve catheter misplacement, dislodgement, leakage, pump malfunction, and increased monitoring workload. — Effect of preoperative liposomal bupivacaine single-injection pericapsular nerve group (PENG) block on lower extremity deep vein thrombosis in elderly patients with hip fractures: a randomised controlled, double-blind, prospective clinical study protocol
• Traditional movement pain assessment involving passive elevation of the affected limb to 15 degrees can impose unnecessary strain when pain is inadequately controlled. — Effect of preoperative liposomal bupivacaine single-injection pericapsular nerve group (PENG) block on lower extremity deep vein thrombosis in elderly patients with hip fractures: a randomised controlled, double-blind, prospective clinical study protocol