Erector Spinae Block Versus PENG Block for Hip Replacement

Not Applicable

Completed

• Conditions: Pain, Postoperative

• Registration Number: NCT05796804
• Lead Sponsor: Papa Giovanni XXIII Hospital

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-03-21
• Study First Submitted QC: 2023-03-21
• Study First Posted: 2023-04-04
• Study Start: 2023-04-13
• Primary Completion: 2024-02-23
• Study Completion: 2024-05-23
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-27
• Last Update Posted: 2024-07-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 64

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
morphine consumption	24 hours	milligrams of morphine by patient controlled analgesia intravenously

Secondary Outcome Measures

Name	Time	Method
postoperative pain	48 hours	numeric rating scale - NRS 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain"
chronic postoperative pain	3 months	numeric rating scale 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain"
neuropathic pain	48 hours	DN4 questionnaire - 4 items questionnaire to investigate the occurrence of neuropathic component
postoperative complications	48 hours	nausea, vomiting, vertigo, blurred vision, syncope, bleeding, falls

Trial Locations

Locations (1)

Aast Papa Giovanni Xxiii; 🇮🇹 Bergamo, Italy