Hip Arthropathy
Conditions
Keywords
Erector spinae block, hip arthroplasty, postoperative analgesia, psoas compartment block, ultrasound
Brief summary
To evaluate the ability of Erector spina Plane block and Psoas compartment block to decrease postoperative pain and analgesia requirements in patients undergoing hip surgery.
Detailed description
Erector spina Plane block or Psoas compartment block will performed with guided ultrasound at L4 Transverse process level would lead to adequate postoperative analgesia ,in total hip arthroplasty surgeries.
Interventions
Psoas Compartment Block will perform preoperative to all patients in Group I. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.
ESP Block will perform preoperative to all patients in ESP block group. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.
Control group will receive no intervention. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.
Sponsors
Study design
Masking description
participant care provider
Intervention model description
Patients randomly allocated to three treatment groups: , The psoas compartment block (Group I) the ESP block group (Group II) and the control group (Group III). Blocks performed after general anesthesia induction with the Ultrasound while patients lying on surgical type at the top.
Eligibility
Inclusion criteria
ASA (American Society of Anesthesiologists) I- ASA II Patients \-
Exclusion criteria
* history of allergy to the study medication * refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| opioid consumption | 24 hours after surgery | In the recovery room, all patients will given a patient- controlled analgesia device containing morphine 0.5 mg/ml, set to deliver a 1mg bolus dose of morphine with an 15 min lockout time and 6 mg 1 h limit.Total morphine consumption during the 24 hours postoperative period will recorded at 5 times intervals ( 2, 4, 6, 12, 24 hours). |
| Verbal analog Pain Scores on rest and movement | 24 hours after surgery | A Research assistant, blinded to the group allocation, interviewed patients and collected data at 5 times intervals ( 2, 4, 6, 12, 24, hours) in the 24 hours postoperatively. Patients were asked to rate their pain using verbal analog scale, where 0= no pain and 10= worst pain possible. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidences of adverse effects (like nausea and vomiting) | 24 hours after surgery | incidences of nausea and vomiting during the 24 hours postoperative period will recorded at 6 time intervals ( 2, 4, 6, 12, 24 hours). |
Countries
Turkey (Türkiye)