Comparing Pericapsular Nerve Group Block With Lumbar Erector Spinae Plain Block in Total Hip Arthroplasty Surgery

Study Overview
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Brief Summary
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Total hip arthroplasty is a common surgical procedure aiming to improve mobility and quality of life in patients suffering from hip pain. Despite being a frequently performed procedure, there is high variability in the peri-operative anaesthetic and analgesic management for total hip arthroplasty. Beyond the immediate postoperative period, regional anesthesia and analgesia can have potentially beneficial effects on long-term outcomes, especially on postoperative pain, functional rehabilitation and morbidity . The primary implication of this study is to compare postoperative opioid consumption of patients' after total hip arthroplasty using pericapsular nerve group (PENG) block with lumbar erector spinae plain block.

Detailed Description
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Total hip arthroplasty is a common surgical procedure aiming to improve mobility and quality of life in patients suffering from hip pain. Despite being a frequently performed procedure, there is high variability in the peri-operative anaesthetic and analgesic management for total hip arthroplasty. Beyond the immediate postoperative period, regional anesthesia and analgesia can have potentially beneficial effects on long-term outcomes, especially on postoperative pain, functional rehabilitation and morbidity . The primary implication of this study is to compare postoperative opioid consumption of patients' after total hip arthroplasty using pericapsular nerve group (PENG) block with lumbar erector spinae plain block.

Official Title
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Comparing Postoperative Opioid Consumption of Pericapsular Nerve Group (PENG) Block With Lumbar Erector Spinae Plain Block in Total Hip Arthroplasty Surgery

Conditions
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Postoperative Pain, Total Hip Arthroplasty

Intervention / Treatment
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* Other: Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over 18 years old, undergoing total hip arthroplasty surgery Exclusion Criteria: Patients with solid organ dysfunction, chronic opioid or corticosteroid use, bleeding diathesis, patients receiving inpatient medication, patients with psychiatric disorders and patients who cannot be contacted after surgery.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| PENG Block and Spinal Anesthesia<br>The patients receive PENG block for postoperative pain management at the beginning of the surgery. TheLESP block will be provided with 20 ml 0,025% bupivacain under ultrasonography. | Other: Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>* Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>|
| Lumbar Erector Spinae Plain Block and Spinal Anesthesia<br>The patients receive LESP block for postoperative pain management at the beginning of the surgery. TheLESP block will be provided with 20 ml 0,025% bupivacain under ultrasonography. | Other: Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>* Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>|
| PENG Block and Lumbar Erector Spinae Plain Block and Spinal Anesthesia<br>The patients receive LESP block and PENG block for postoperative pain management at the beginning of the surgery. The LESP block and PENG block will be provided with 20 ml 0,025% bupivacain each under ultrasonography. | Other: Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>* Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative Pain Scores | Comparing pain scores with Numeric Rating Scale (NRS) | 48 Hours | 
| Opioid Consumption | Comparing opioid consumption via Patient Controlled Analgesia (PCA) device | 48 Hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction | Patient Satisfaction score- 0 to 5: unsatisfied:0 satisfied:5 | 48 Hours | 
| Complications Related to Pain Management | Complications Related to Pain Management- nausea, vomiting, itching | 48 Hours | 
| Time of Mobilization | the time between the surgery to mobilization of the patient | 7 Days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Total Hip Arthroplasty, PENG Block, Lumbar Erector Spinae Plain Block, Postoperative Opioid Consumption