Comparison of the Efficiency of PENG Block and ESP Block Used for Postoperative Analgesia in Elective Hip Surgery
Condition: Pain, Postoperative; Anesthesia, Regional; Hip Surgery; Ultrasound-Guided
MeSH terms: Pain, Postoperative
Study type: Interventional

Summary: 
      The aim of the study is to determine whether the traditional intravenous analgesia technique
      or the ultrasound-guided pericapsular nerve group block or the unilateral erector spina plane
      block technique is superior in postoperative analgesia management in the hip operation
      procedure that requires preoperative and postoperative severe analgesia. In this way, by
      preventing the health problems that may occur due to the pain of the patients after the
      operation; to provide benefits for the early mobilization of patients, shortening the
      hospital stay, reducing the cost and increasing patient satisfaction.
    

Detailed description: 
      Hip arthroplasty (HA) is one of the most successful orthopedic procedures applied today to
      improve the patient's functional status and quality of life. In patients with hip pain due to
      various conditions, HA can relieve pain, restore function, and improve quality of life. In
      the USA alone, approximately 500,000 HA is performed each year. With the increase in the
      elderly population, HA surgeries have also increased, but despite the developing methods, a
      gold standard has not been determined for anesthesia and analgesia methods. Appropriate pain
      management for surgical patients contributes to early mobilization, shortened hospital stay,
      reduced cost and increased patient satisfaction, while inadequate treatment of pain has
      detrimental short- or long-term health effects. Therefore, minimizing postoperative pain has
      become more important for healthcare providers in recent years. Therefore, postoperative pain
      control can be achieved with balanced and effective analgesia. For this purpose, various
      analgesia techniques have been used to prevent postoperative pain. The superiority of the
      techniques to each other varies according to the type of surgery and the combination of
      techniques applied. Opioids, which are the most widely used to prevent inadequate pain
      treatment leading to various comorbidities, cause pharmacodynamic results due to
      physiological changes and serious side effects due to concomitant diseases in patients. In
      recent years, peripheral nerve blocks have been used in the management of postoperative pain
      in hip surgeries. Erector spina plane block and pericapsular nerve group block are the most
      reliable and proven blocks used in hip operations.

      The aim of the study is to determine whether traditional intravenous analgesia technique,
      ultrasound-guided pericapsular nerve group block or unilateral erector spina plane block
      technique is superior in postoperative analgesia management in hip operation procedure
      requiring preoperative and postoperative severe analgesia.
    

Intervention name(s): Lumbar Erector Spinae Plane Block; Pericapsular Nerve Group Block; no peripheral block
Intervention type(s): Procedure; Procedure; Procedure
Intervention description(s): Erector spinae plane block was applied with a 22G/80 mm block needle (Stimuplex A, Braun, Melsungen, Germany) using in-plane technique using a convex USG transducer from the 4th lumbar vertebral level.; Pericapsular nerve group block was performed using a 22G/80 mm block needle (Stimuplex A, Braun, Melsungen, Germany) and a convex USG transducer using an in-plane technique under the iliopsoas muscle in the plane between the iliopsoas tendon and the periosteum and between the anterior inferior iliac spine and the iliopubic eminence.; No peripheral block was applied. Standard multimodal analgesia method was applied.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This study was designed as a randomized, double-blind, prospective efficacy study.
Masking: Single (Participant)
Primary purpose: Other
Keywords: Hip Surgery; Pericapsular Nerve Group Block; Lumbar Erector Spinae Plane Block; Regional Anesthesia; Ultrasound-Guided