SFIB vs PENG Block in the Anesthesia for Total Hip Replacement

Launched by STATE BUDGETARY HEALTHCARE INSTITUTION, NATIONAL MEDICAL SURGICAL CENTER N.A. N.I. PIROGOV, MINISTRY OF HEALTH OF RUSSIA · Jul 2, 2025

Keywords

ClinConnect Summary

Patients will be randomized into three groups group:

Group 1: General anesthesia with SFIB

In this group, under the ultrasound control, a local anesthetic will be injected into the interfacial space of the iliac muscle, in the area of the passage of the deep artery that surrounds the ilium. The block will be performed over the inguinal fold medial to the upper anterior iliac spine. After ultrasound identification of the needle's location in the interfacial space, 40 ml of a 0.5% solution of Ropivacaine will be administered.

Group 2: General anesthesia with PENG block

The block is perfor...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Signed, dated informed consent form
• • Age from 50 to 75 years
• • Indications for primary total hip replacement
• • American Society of Anesthesiologists (ASA) score from 1 to 3
• Exclusion Criteria:
• • Patients receiving beta blockers;
• • Infectious manifestations at the puncture site;
• • Bleeding, clinically significant hypovolemia of any origin, shock;
• • Disorders of the blood coagulation system;
• • Intolerance to local anesthetics;
• • Demyelinating diseases of the nervous system;
• • Allergy to local anesthetics;
• • Psychiatric diseases;
• • Any conditions that prevent obtaining informed consent.