Perioperative Analgesia for Total Hip Arthroplasty

Perioperative Analgesia for Total Hip Arthroplasty: Lumbar Plexus Block Using Shamrock Technique Versus Fascia Iliaca Block

This study is comparing the effect of lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics

Different groups receive different interventions at same time during study. patients were randomly allocated in two groups :

Group A: lumbar plexus block using shamrock technique by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.

Group B: Fascia iliaca block by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.

Inclusion Criteria:

• ASA physical status I-II and scheduled for elective total hip arthroplasty

Exclusion Criteria:

• Patients who refuse to participate.
• Local infection.
• Patients with coagulation defects