Regional Anesthesia in THR - Comparing the Analgesic Efficacy of Fascia Iliaca Block and Erector Spinae Plane Block

Regional Anesthesia in THR - Comparing Analgesic Efficacy of Fascia Iliaca Block and Erector Spinae Plane Block

THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Fascia Iliaca Block (FIB) and Erector Spinae Plane Block (ESPB) are indirect approaches to the lumbar plexus that resulted to be very promising for THR. However, no studies investigated the analgesic superiority of either FIB or ESPB. In our study the investigators compare FIB and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.

Inclusion Criteria:

• primary THR
• 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