Comparing Two Nerve Block Methods for Pain Relief After Hip Replacement Surgery Under Spinal Anesthesia

What this Trial Is About

Researchers are evaluating the pain relief effectiveness of two nerve block techniques, the Pericapsular Nerve Group PENG Block and the Lumbar Erector Spinae Plane Block L-ESP, in adults undergoing total hip arthroplasty with spinal anesthesia. The study aims to determine which nerve block provides better postoperative pain control based on pain scores, opioid use, and patient satisfaction. This research addresses the significant pain and movement limitations patients face after hip replacement surgery and seeks to improve recovery and reduce complications. Participants will be randomly assigned to receive either the PENG block or the L-ESP block before surgery. Both groups will have spinal anesthesia during the operation. Following surgery, all patients will use patient-controlled analgesia PCA to manage opioid intake, and pain levels will be recorded at multiple time points up to 24 hours after the nerve block. Additional rescue pain medication will be given if needed. Various parameters such as hemodynamic stability, opioid consumption, pain scores, patient satisfaction, and hospital stay length will be compared between the two groups. Throughout the 24-hour postoperative period, participants will be closely monitored for pain intensity using the Numeric Rating Scale at scheduled intervals from baseline up to 24 hours after surgery. Researchers will also track opioid use, time to first pain sensation, rescue medication use, vital signs, nausea, vomiting, and any complications related to the nerve blocks. Patient satisfaction will be assessed via questionnaire, and overall recovery measures including early mobilization and length of hospital stay will be documented to evaluate the effectiveness and safety of each nerve block technique.

Comparison of Pain Relief Methods for Hip Surgery: A Study on Two Different Nerve Block Techniques