Erector Spinae Block Versus PENG Block for Postoperative Analgesia After Total Hip Replacement
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain, Postoperative
- Sponsor
- Papa Giovanni XXIII Hospital
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- morphine consumption
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Investigators
Dario Bugada
MD
Papa Giovanni XXIII Hospital
Eligibility Criteria
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
Outcomes
Primary Outcomes
morphine consumption
Time Frame: 24 hours
milligrams of morphine by patient controlled analgesia intravenously
Secondary Outcomes
- postoperative pain(48 hours)
- chronic postoperative pain(3 months)
- neuropathic pain(48 hours)
- postoperative complications(48 hours)