{
  "abstract": "Background and Aims Effective pain control is essential for patients undergoing hip surgery. Superior cluneal nerve block (SCNB) and thoracolumbar fascia block (TLFB) offer promising options for postoperative analgesia.Methods We report a case series on the effectiveness of SCNB and TLFB in managing postoperative pain in patients undergoing hip surgery (total hip replacement, Proximal Femoral Nail Antirotation, and hemiarthroplasty).Results This case series describes twelve patients receiving SCNB and TLFB with ropivacaine 0.375% and dexamethasone for postoperative pain control. All patients reported significant pain relief (most NRS 0–1 at rest and 0–3 during mobilization) and showed improved recovery without complications.Abstract P198 Figure 1The superior cluneal nerve block (SCNB) and thoracolumbar fascia block (TLFB) procedures for postoperative pain management in patients undergoing hip surgery. The first image captures the needle insertion under sterile conditions, guided by ultrasound. The ultrasound images highlight key anatomical landmarks, including fascia and muscle layers, ensuring precise needle placement. The hypoechoic (dark) areas indicate the spread of the local anesthetic, confirming a successful block. These techniques effectively reduce pain, promote early mobilization, and minimize opioid use in patientsAbstract P198 Figure 2The image shows a curvilinear incision over the lateral aspect of the hip, starting near the iliac crest and curving down toward the greater trochanter. This type of incision is most consistent with the posterolateral approach to hip surgery. Commonly used in total hip replacement, hip hemiarthroplasty, and hip fracture fixation (like PFNA)Conclusions SCNB and TLFB are effective and safe options for postoperative pain management in patients undergoing hip surgery, enhancing recovery and reducing opioid use.",
  "authors": [
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Saiful Anwar Malang Hospital, Malang, Indonesia"
      ],
      "name": "Muhammad Farlyzhar Yusuf"
    },
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Medicine Faculty of Brawijaya University, Malang, Indonesia"
      ],
      "name": "Ristiawan Mujilaksono"
    },
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Medicine Faculty of Brawijaya University, Malang, Indonesia"
      ],
      "name": "Taufiq Agussiswagama"
    },
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Saiful Anwar Malang Hospital, Malang, Indonesia"
      ],
      "name": "Buyung Hartiyolaksono"
    },
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Medicine Faculty of Brawijaya University, Malang, Indonesia"
      ],
      "name": "Andyk Asmoro"
    },
    {
      "affiliations": [
        "Anesthesiology and Critical Care, Medicine Faculty of Brawijaya University, Malang, Indonesia"
      ],
      "name": "Ruddi Hartono"
    }
  ],
  "title": "P198 Enhancing postoperative pain control in hip surgery: case series on superior cluneal and thoracolumbar fascia blocks",
  "uid": "cefd30db-95c0-5017-8fb9-ef26a9f8f480"
}