Study of Pericapsular Nerve and Lumbar Erector Spinae Plane Blocks with General Anesthesia for Older Adults Having Total Hip Replacement Surgery

What this Trial Is About

Researchers are evaluating the effects of pericapsular nerve group and erector spinae plane blocks as additional treatments to general anesthesia in older adults undergoing total hip arthroplasty. This surgery is commonly performed to improve function and quality of life but can cause significant postoperative pain. General anesthesia is often used for patients with complex health conditions, though it may increase risks such as delirium and delayed mobility in elderly patients. The study compares three groups one receiving only general anesthesia, one receiving general anesthesia plus the erector spinae plane block, and one receiving general anesthesia combined with both the erector spinae plane block and the pericapsular nerve block. These nerve blocks target specific nerves around the hip to provide pain relief, potentially reducing the need for other pain medications and minimizing complications. Participants will undergo detailed monitoring during surgery, including measuring the amount of sevoflurane used to maintain a targeted brain activity level. Postoperative assessments will include pain levels, opioid consumption, blood pressure, heart rate, patient satisfaction, and any complications within 24 hours after surgery. The study involves random assignment to groups, double-blind methods, and will follow patients through their surgery and recovery period starting from December 2024.

Pericapsular Nerve Group and Lumbar Erector Spinae Plane Blocks for Geriatrics Undergoing Total Hip Arthroplasty