Postoperative Analgesia in Hip Arthroplasty

Comparison of the Postoperative Analgesic Effectiveness of Suprainguinal Fascia Iliaca Block (SFIB) and Pericapsular Nerve Block (PENG) in Hip Arthroplasty

The goal of this clinical trial is to compare analgesic effectiveness of two blocks in hip arthroplasty. The main question that aim to answer is;

-Which block is more efficient? Researchers will compare suprainguinal fascia iliaca block with perineural nerve group block.

Participants will randomized and one of the blocks will be applied.

Postoperative pain and analgesia in hip surgery is an important issue for early mobilization and length of hospital stay. The patient population is usually elderly. Prolonged hospital stay may cause thromboembolic complications due to delayed mobilization, psychiatric conditions such as delirium, and many undesirable conditions caused by pain such as chronicisation of acute pain. There are neuraxial analgesia, regional analgesia and multimodal analgesia regimens that are used together to prevent postoperative pain and to prevent these undesirable conditions caused by pain. Suprainguinal fascia iliaca block and pericapsular nerve group blocks are two of those. With performing these blocks, we will obtain postoperative analgesia and avoid postoperative complications.

Inclusion Criteria:

• Volunteer patients undergoing hip arthroplasty
• Voluntary patient to undergo elective operation under regional anaesthesia
• ASA I-II-III
• BMI≤35 kg/m²

Exclusion Criteria:

• Obstacles to the application of regional anaesthesia
• Local Anaesthetic Allergy
• Coagulopathy
• Psychiatric disorders and medication
• Hematological/Oncological disease
• Severe organ failure
• Multiple bone fractures
• Alcohol/Drug addiction
• Used analgesic medication up to 12 hours before surgery
• Infection at the Block Application Site
• Mental Deficiency
• Morbidly obese patients