*For the First Postoperative Day; Analysis Revealed No Significant Differences in The

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*For the First Postoperative Day; Analysis Revealed No Significant Differences in The

Supplemental Table 1. Characteristics of additional randomized controlled trials included in the network meta-analysis

Study Patients Groups Procedure Intervention Anesthesia/ora Postoperativ Rescue analgesia* (number) Comparison l analgesia e analgesic protocol*

Administratio Administration Components Components n methods methods Local infiltration analgesia vs epidural analgesia

Pandazi et al. Total: 41 1. LIA (20) Elective Ropivacaine 3 Single-shot Ropivacaine Continuous Spinal 8 mg IV q PCA [7] Age, mean: not 2. Epidural unilateral THA mg/kg, intraoperative 0.2% (2 infusion Standardized 12 hours, morphine IV: 1 mg/mL, 2013 available† analgesia, posterolateral morphine 4-10 mg LIA, mg/mL), postoperative, anesthesia and paracetamol dose: 0.8-1.2 mL, according Greece Sex, F%: not continuous approach, (titration) intraarticular commenced at a combined oral (pre- and 500 mg q 6 to patient’s age, available† infusion cementless, methylprednisolone injection rate of 4 spinal-epidural postoperative) hours lockout interval: 8 minutes Diagnosis: OA (21) drainage 40 mg mL/hour and technique analgesic BMI: not epinephrine 1/1000 titrated to protocol. available† (0.3 mL-300 mcg) maintain sensory ASA class, not clonidine 1 mcg/kg blockade of the available† cefuroxime 750 mg surgical site. diluted in NS to 100 mL.

Andersen et al. Total: 75 1. LIA (38) Elective Intraoperative Double-shot Ropivacaine Continuous Spinal Paracetamol Oxycodone 5-10 mg by [1] Age, mean: 2. Epidural unilateral THA ropivacaine 2 intraoperative 0.2% (2 infusion Standardized 1 g by mouth (if VAS > 30 mm). 2007 61.5 years analgesia, posterior mg/mL; 100 mL, and mg/mL), postoperative, anesthesia and mouth q 6 nicomorphine 5-10 mg IV Denmark Sex, F%: 53.3% continuous approach, ketorolac 30 mg/mL; postoperative morphine 5 combined oral (pre- and hours if pain persisted. Diagnosis: OA infusion cementless 1 mL, (8 hours after µg/mL spinal-epidural postoperative) No restrictions regarding BMI: 26.5 (37) (43), cemented epinephrine 1 surgery, by started at a rate technique analgesic frequency of drug administration kg/m2 (24), and mg/mL; 1 mL catheter), of 4 mL/hour protocol. or the overall daily dose. ASA Classes I- hybrid (8)** intraarticular and was titrated III prosthesis. postoperative and to maintain Drainage ropivacaine 7.5 subcutaneous sensory mg/mL; 20 mL injection blockade of the ketorolac 30 mg/mL; surgical site. 1 mL; epinephrine 1 mg/mL; 0.5 mL Local infiltration analgesia vs intrathecal morphine

Kuchálik et al. Total: 78 1. LIA (39) Elective Intraoperative Double-shot Morphine Injected Spinal Paracetamol PCA [6] Age, mean: 2. unilateral THA ropivacaine 2 intraoperative (preservative- intrathecally Standardized 1 g by Morphine IV: 1 mg/mL, 2013 66.5 years Intrathecal mg/mL; 150 mL and free) 0.1 mg with spinal anesthesia and mouth every lockout interval: 6 minutes Sweden Sex, F%: 43.6% morphine ketorolac 30 mg/mL; postoperative (0.25 mL) anesthesia. oral (pre- and 6 hours maximum 10 mg/hour Diagnosis: not (39) 1 mL (24 hours after postoperative) (when NRS > 3). *For the first postoperative day; **analysis revealed no significant differences in the distribution of patients in the surgical approach; †second shot was performed after study period for this network meta-analysis (24 hours postoperative); NS = normal saline; ASA = American Society of Anesthesiologists; PCA = patient controlled anesthesia; PCB = psoas compartment block; CPCB = continuous psoas compartment block; CLPB = continuous lumbar plexus block; CLPSB = continuous lumbar plexus block associated with parasacral sciatic nerve block; OA = osteoarthritis; ONFH = osteonecrosis of femoral head; RA = rheumatoid arthritis; AS = ankylosing spondylitis; NRS = numerical rating scale; IM = intramuscular; IV = intravenous.

References

1. Andersen KV, Pfeiffer-Jensen M, Haraldsted V, Soballe K. Reduced hospital stay and narcotic consumption, and improved mobilization with local and intraarticular infiltration after hip arthroplasty: a

randomized clinical trial of an intraarticular technique versus epidural infusion in 80 patients. Acta Orthop. 2007;78:180-186.

2. Capdevila X, Macaire P, Dadure C, Choquet O, Biboulet P, Ryckwaert Y, D'Athis F. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: new landmarks, technical

guidelines, and clinical evaluation. Anesth Analg. 2002;94:1606-1613, table of contents.

3. Dauri M, Celidonio L, Fabbi E, Nahmias S, Faria S, Coniglione F, Silvi MB. Comparing continuous lumbar plexus block, continuous epidural block and continuous lumbar plexus block with a parasacral sciatic nerve block on post-operative analgesia after hip arthroplasty. J Anes Clin Res. 2011;2:177. doi: 10.4172/2155-6148.1000177.

4. Duarte LT, Beraldo PS, Saraiva RA. [Effects of epidural analgesia and continuous lumbar plexus block on functional rehabilitation after total hip arthroplasty][in Portuguese]. Rev Bras Anestesiol. 2009;59:531-

544.

5. Frassanito L, Rodola F, Concina G, Messina A, Chierichini A, Vergari A. The efficacy of the psoas compartment block versus the intrathecal combination of morphine, fentanyl and bupivacaine for postoperative analgesia after primary hip arthroplasty: a randomized single-blinded study. Eur Med Pharmacol Sci. 2008;12:117-122.

6. Kuchalik J, Granath B, Ljunggren A, Magnuson A, Lundin A, Gupta A. Postoperative pain relief after total hip arthroplasty: a randomized, double-blind comparison between intrathecal morphine and local infiltration analgesia. Br J Anaesth. 2013;111:793-799.

7. Pandazi A, Kanellopoulos I, Kalimeris K, Batistaki C, Nikolakopoulos N, Matsota P, Babis GC, Kostopanagiotou G. Periarticular infiltration for pain relief after total hip arthroplasty: a comparison with epidural and PCA analgesia. Arch Orthop Trauma Surg. 2013;133:1607-1612.

8. Rikalainen-Salmi R, Forster JG, Makela K, Virolainen P, Leino KA, Pitkanen MT, Neuvonen PJ, Kuusniemi KS. Local infiltration analgesia with levobupivacaine compared with intrathecal morphine in total hip arthroplasty patients. Acta Anaesthesiol Scand. 2012;56:697-705. 9. Singelyn FJ, Ferrant T, Malisse MF, Joris D. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous femoral nerve sheath block on rehabilitation after unilateral total-hip arthroplasty. Reg Anesth Pain Med. 2005;30:452-457.

10. Souron V, Delaunay L, Schifrine P. Intrathecal morphine provides better postoperative analgesia than psoas compartment block after primary hip arthroplasty. Can J Anaesth. 2003;50:574-579.

11. Turker G, Uckunkaya N, Yavascaoglu B, Yilmazlar A, Ozcelik S. Comparison of the catheter-technique psoas compartment block and the epidural block for analgesia in partial hip replacement surgery. Acta

Anaesthesiol Scand. 2003;47:30-36.

12. Winnie AP, Ramamurthy S, Durrani Z, Radonjic R. Plexus blocks, for lower extremity surgery: new answers to old problems. Anesthesiol Rev. 1979;1:11-16.

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