[Perioperative analgesia during total hip replacement]

Total hip replacement has become a widespread surgical intervention, so adequate analgesia substantially improves the results of treatment. This paper reviews the literature on the choice of a perioperative analgesia mode during hip arthroplasty. There is no uniform approach to preoperative analgesia, but one can identify the basic lines of its development: the introduction of effective and safe regional procedures, the minimum use of opioid analgesics, a gradual transition of intraoperative to postoperative analgesia, the possibility of the earliest activation of a patient, the capacity of a analgesic procedure to reduce perioperative blood loss, the incidence of thromboembolic and other complications, and the cost of treatment.