Erector Spinae vs. PENG Block for Total Hip Arthroplasty

Poznan University of Medical Sciences90 enrolled

Overview

Effect of PENG block and ESPB on pain management, and NLR and PLR following knee arthroplasty

Hip arthroplasty is one of the most common orthopedic procedures, especially in elderly patients, due to the deformation of joints. Patients may complain of severe pain due to surgical trauma and prosthesis. Regional anesthesia methods may be performed to reduce the inflammatory response, opioid consumption, and opioid-related side effects. In recent years, the influence of regional anesthesiology on reducing the inflammatory response after surgical procedures has been emphasized. However, very few studies have evaluated the effect of various methods of anesthesia on the NLR. This is the first study to investigate the effect of regional anesthesia on the NLR and PLR in patients undergoing hip replacement surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Hip Arthropathy Hip Osteoarthritis Hip Pain Chronic

Interventions

Ropivacaine 0.2% Injectable Solution Erector Spinae Plane BlockDRUG

ultrasound guided ESPB - L4 level, unilateral

Ropivacaine 0.2% Injectable Solution - PENG blockDRUG

ultrasound guided PENG block

Control TestDRUG

Only spinal anesthesia

Eligibility

Sex: ALLMin age: 20 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with ASA classification I-III, Aged 20-90 years, Who will be scheduled for hip arthroplasty under spinal anesthesia. Exclusion Criteria: * Patients who have a history of bleeding diathesis, Take anticoagulant therapy, have a History of chronic pain before surgery, have Multiple trauma, cannot assess their pain (dementia), have been operated on under general anesthesia, have an infection in the area and do not accept the procedure

Locations (1)

Poznan University of Medical Sciences

Poznan, Poznań, Poland

Outcomes

Primary Outcomes

Opioid consumption

Total opiate consumption after surgery

Time frame: 48 hours after surgery