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Clinical Trials/NCT05796804
NCT05796804
Completed
Not Applicable

Erector Spinae Block Versus PENG Block for Postoperative Analgesia After Total Hip Replacement

Papa Giovanni XXIII Hospital1 site in 1 country64 target enrollmentApril 13, 2023

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.

Registry
clinicaltrials.gov
Start Date
April 13, 2023
End Date
May 23, 2024
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Papa Giovanni XXIII Hospital
Responsible Party
Principal Investigator
Principal Investigator

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)

Study Sites (1)

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