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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERECTOR SPINAE PLANE BLOCK | Active Comparator | ultrasound guided block at L4 |
|
| PERICAPSULARE NERVE GROUP AND LATERAL FEMORAL CUTANEOUS NERVE BLOCK | Active Comparator | ultrasound guided block below the ileo-psoas muscle tendon, above the ilio-pectineous eminence and ultrasound guided block of lateral femoral cutaneous nerve |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERECTOR SPINAE PLANE BLOCK | Procedure | ULTRASOUND GUIDED - ROPIVACAINE 30 ml 0.5% |
|
| Measure | Description | Time Frame |
|---|---|---|
| morphine consumption | milligrams of morphine by patient controlled analgesia intravenously | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain | numeric rating scale - NRS 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain" | 48 hours |
| neuropathic pain | DN4 questionnaire - 4 items questionnaire to investigate the occurrence of neuropathic component |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aast Papa Giovanni Xxiii | Bergamo | 24127 | Italy |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000775 | Anesthesia, Spinal |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Peng block + lateral femoral cutaneous nerve block | Procedure | ULTRASOUND GUIDED - ROPIVACAINE 20 ml 0.5% + 10 ml 0.5% |
|
| spinal anesthesia | Procedure | bupivacaine 0.5% 2.2 ml |
|
| 48 hours |
| postoperative complications | nausea, vomiting, vertigo, blurred vision, syncope, bleeding, falls | 48 hours |
| chronic postoperative pain | numeric rating scale 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain" | 3 months |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |