Postoperative Pain, Total Hip Arthroplasty
Conditions
Keywords
Total Hip Arthroplasty, PENG Block, Lumbar Erector Spinae Plain Block, Postoperative Opioid Consumption
Brief summary
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
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.
Interventions
OTHERProcedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups
Procedure/Surgery: Regional Block Comparison Comparing postoperative pain and opioid consumption in groups
Sponsors
Marmara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid Consumption | 24 Hours | Comparing opioid consumption via Patient Controlled Analgesia (PCA) device 1 mg/ ml morphine, 10 minutes lock out |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores | 48 Hours | Numeric Rating Scale: (0 to 10: worse pain:10 no pain:0) |
| rescue analgesia | 48 hours | tramadol 1.5 mg/kg if NRS\>4. |
Countries
Turkey (Türkiye)
Outcome results
None listed