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

Launched by TANTA UNIVERSITY · Mar 29, 2025

Keywords

ClinConnect Summary

This clinical trial is looking into two specific types of pain relief methods, called pericapsular nerve group blocks and erector spinae plane blocks, to see how well they work alongside general anesthesia for older patients undergoing total hip replacement surgery. The goal is to find out if these additional pain relief techniques can help improve comfort and outcomes for patients aged 75 and older during and after their surgery.

To be eligible for this trial, participants need to be over 75 years old, of any gender, and classified as having a low to moderate risk for anesthesia complications. They must be scheduled for total hip replacement surgery under general anesthesia. However, those who refuse to participate, have a high body weight, are allergic to local anesthetics, have infections, or have serious pre-existing health issues like advanced kidney or liver diseases cannot take part in the study. If you join, you can expect to receive standard anesthesia along with one of the new pain relief techniques being tested, and your progress will be monitored throughout the process.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Aged \>75 years.
• • Both sexes.
• • American Society of Anesthesiologists (ASA) classification I-III.
• • Undergoing total hip arthroplasty under general anesthesia.
• Exclusion Criteria:
• • Patient refusal.
• • Body mass index (BMI) \> 30 kg/m2.
• • Allergy to local anesthesia drugs.
• • Infection at the site of intervention.
• • Coagulopathies.
• • Preexisting advanced diseases of the kidney or liver.