Erector Spinae Block Versus PENG Block for Hip Replacement

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-13

Study Completion Date

2024-05-23

Brief Summary

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THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Erector Spinae Plane Block (ESPB) and PENG (pericapsular nerve group block) are alternative approaches to the hip sensitive nerve branches that resulted to be very promising for hip surgeries. However, no studies investigated the analgesic superiority of either PENG or ESPB. In our study the investigators compare PENG (with a lateral femoral cutaneous nerve block) and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.

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Detailed Description

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Conditions

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Pain, Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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ERECTOR SPINAE PLANE BLOCK

ultrasound guided block at L4

Group Type ACTIVE_COMPARATOR

ERECTOR SPINAE PLANE BLOCK

Intervention Type PROCEDURE

ULTRASOUND GUIDED - ROPIVACAINE 30 ml 0.5%

spinal anesthesia

Intervention Type PROCEDURE

bupivacaine 0.5% 2.2 ml

PERICAPSULARE NERVE GROUP AND LATERAL FEMORAL CUTANEOUS NERVE BLOCK

ultrasound guided block below the ileo-psoas muscle tendon, above the ilio-pectineous eminence and ultrasound guided block of lateral femoral cutaneous nerve

Group Type ACTIVE_COMPARATOR

Peng block + lateral femoral cutaneous nerve block

Intervention Type PROCEDURE

ULTRASOUND GUIDED - ROPIVACAINE 20 ml 0.5% + 10 ml 0.5%

spinal anesthesia

Intervention Type PROCEDURE

bupivacaine 0.5% 2.2 ml

Interventions

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ERECTOR SPINAE PLANE BLOCK

ULTRASOUND GUIDED - ROPIVACAINE 30 ml 0.5%

Intervention Type PROCEDURE

Peng block + lateral femoral cutaneous nerve block

ULTRASOUND GUIDED - ROPIVACAINE 20 ml 0.5% + 10 ml 0.5%

Intervention Type PROCEDURE

spinal anesthesia

bupivacaine 0.5% 2.2 ml

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* primary total hip replacement
* informed consent

Exclusion Criteria

* allergies to study drugs
* spinal anesthesia contraindicated
* kidney failure
* epilepsy, psychiatric disease, neurologic deficits
* revision surgery
* neuropathies in the lumbar area
* no informed consent
* pregnancy
* alcohol/opioid abuse
* emergency surgery/intensive care

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No