Erector Spinae vs. PENG Block for Total Hip Arthroplasty

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

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-17

Study Completion Date

2024-06-11

Brief Summary

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

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Detailed Description

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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.

Conditions

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Hip Arthropathy Hip Osteoarthritis Hip Pain Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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PENG Block group

ultrasound guided PENG block - 20ml 0,2% ropivacaine

Group Type ACTIVE_COMPARATOR

Ropivacaine 0.2% Injectable Solution - PENG block

Intervention Type DRUG

ultrasound guided PENG block

ESPB group

ultrasound guided erector spinae plane block - 20ml 0,2% ropivacaine

Group Type ACTIVE_COMPARATOR

Ropivacaine 0.2% Injectable Solution Erector Spinae Plane Block

Intervention Type DRUG

ultrasound guided ESPB - L4 level, unilateral

Control group

Only spinal anesthesia - No peripheral nerve block

Group Type ACTIVE_COMPARATOR

Control Test

Intervention Type DRUG

Only spinal anesthesia

Interventions

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Ropivacaine 0.2% Injectable Solution Erector Spinae Plane Block

ultrasound guided ESPB - L4 level, unilateral

Intervention Type DRUG

Ropivacaine 0.2% Injectable Solution - PENG block

ultrasound guided PENG block

Intervention Type DRUG

Control Test

Only spinal anesthesia

Intervention Type DRUG

Other Intervention Names

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Erector Spinae Plane Block PENG block No peripheral nerve block

Eligibility Criteria

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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

Minimum Eligible Age

20 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No