Comparing Anterior Iliopsoas Space Block and PENG Block for Easier Spinal Anesthesia Positioning in Hip Surgery Patients

What this Trial Is About

Researchers are evaluating two different nerve block techniques to improve pain management and ease of positioning for spinal anesthesia in patients undergoing hip surgeries. This study focuses on patients with hip fractures or those undergoing total hip arthroplasty, a major advancement in orthopedic surgery. Effective pain control before and after surgery is crucial to reduce opioid use and enhance recovery. The study compares the anterior iliopsoas space block, a new technique targeting the lumbosacral trunk beneath the psoas major muscle, with the peri-capsular nerve group PENG block, which targets nerves supplying the anterior hip capsule. Both groups receive bupivacaine 0.20% 25 ml administered under ultrasound guidance. The procedures are performed before spinal anesthesia to assess which block better facilitates spinal positioning and pain control. Participants will be monitored for ease of spinal positioning 30 minutes after the nerve block. Pain levels at rest and during limb movement will be measured up to 24 hours after surgery. Researchers will also track opioid use and quality of recovery within 24 hours postoperatively. The study includes assessments of pain scores and recovery quality to determine which nerve block provides better analgesia and supports recovery after hip surgery.

Anterior Iliopsoas Space Block Versus PENG Block on Ease of Positioning for Spinal Anathesia in Patients Undergoing Hip Surgeries