Erector Spinae Block Versus PENG Block for Hip Replacement (PENGESP)

Papa Giovanni XXIII Hospital

Status: Completed

Conditions: Pain, Postoperative

Treatments: Procedure: spinal anesthesia; Procedure: Peng block + lateral femoral cutaneous nerve block; Procedure: ERECTOR SPINAE PLANE BLOCK

Study type: Interventional

Funder types: Other

Identifiers

NCT05796804

030/23

Details and patient eligibility

About

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.

Enrollment: 64 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

ERECTOR SPINAE PLANE BLOCK

Active Comparator group

Description:

ultrasound guided block at L4

Treatment:

Procedure: ERECTOR SPINAE PLANE BLOCK

Procedure: spinal anesthesia

PERICAPSULARE NERVE GROUP AND LATERAL FEMORAL CUTANEOUS NERVE BLOCK

Active Comparator group

Description:

ultrasound guided block below the ileo-psoas muscle tendon, above the ilio-pectineous eminence and ultrasound guided block of lateral femoral cutaneous nerve

Treatment:

Procedure: Peng block + lateral femoral cutaneous nerve block

Procedure: spinal anesthesia