Published online Mar 11, 2024. doi: 10.5313/wja.v13.i1.90514
Peer-review started: December 9, 2023
First decision: December 23, 2023
Revised: January 5, 2024
Accepted: February 25, 2024
Article in press: February 25, 2024
Published online: March 11, 2024
Processing time: 89 Days and 18.1 Hours
Core Tip: Avascular necrosis (AVN) of the hip was one of the dreaded complications of coronavirus disease 2019 (COVID-19), which emerged in patients who received steroid therapy. Corticosteroids have been a mainstay in the COVID-19 treatment protocol. High doses of corticosteroids have shown positive results and have been lifesaving in many cases. Still, long-term consequences were AVN of the hip, which unfortunately affected young individuals. These patients were posted for bilateral hip replacement surgeries. Our study aimed to study the dynamics of pericapsular end nerve block to provide adequate analgesia to these patients for enhanced postoperative recovery and discharge. While epidural analgesia is the gold standard technique, it has several complications like hypotension, motor blockade and urinary retention.