Transcatheter Aortic Valve Implantation: Comparison of the Effects of Ultrasound-Guided Pericapsular Nerve Group Block and Fascia Iliaca Block on Postoperative Analgesia Management - A Randomized, Prospective Study

What this Trial Is About

Aortic Stenosis (AS) is a common heart valve condition affecting mostly older adults, especially those over 75. Surgical replacement is the usual treatment, but many high-risk patients cannot undergo surgery due to age or other health problems. Transcatheter Aortic Valve Implantation (TAVI) offers a less invasive alternative, improving outcomes for those who cannot have surgery. This study compares different types of anesthesia used during TAVI to find the best approach for patient comfort and safety. The study compares three anesthesia methods during TAVI: local infiltration anesthesia, Pericapsular Nerve Group (PENG) block, and Fascia Iliaca Block (FIB). Local infiltration involves injecting anesthetic around the puncture sites. The PENG block uses ultrasound to target specific nerves near the hip without causing muscle weakness. The FIB blocks multiple nerves around the hip area using ultrasound guidance. Each method uses 30 ml of 0.25% bupivacaine, applied with precise techniques under sterile conditions. Participants will undergo TAVI with one of the three anesthesia methods. Researchers will monitor sedation needs during the procedure and evaluate pain levels, opioid use, motor block presence, and side effects like nausea or vomiting after surgery. Sedation frequency and medication amounts during TAVI are primary outcomes. The study aims to determine which anesthesia provides the best pain relief and safety for patients undergoing TAVI, with monitoring continuing through the first 24 hours after surgery.

Transcatheter Aortic Valve Implantation: Comparison of the Effects of Ultrasound-Guided Pericapsular Nerve Group Block and Fascia Iliaca Block on Postoperative Analgesia Management