Two needle techniques for lumbar erector spinae plane block during hip replacement
Regional Anesthesia in Hip Arthroplasty- Comparison Between Two Techniques for Erector Spinae Plane Block
This test will see if placing the needle superficially or through the lamina for a lumbar erector spinae plane block gives better numbness and pain control for people having primary hip replacement.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 44 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Papa Giovanni XXIII Hospital Academic / other |
| Locations | 1 site (Bergamo) |
| Trial ID | NCT07104097 on ClinicalTrials.gov |
What this trial studies
Adults scheduled for primary total hip replacement are randomized to receive a lumbar erector spinae plane block with needle placement either superficial to the muscle or via a translaminar approach, followed by spinal anesthesia and standard multimodal analgesia. The main outcome is whether patients have numbness or reduced cold sensation in the area supplied by the lumbar plexus on an ice test. Secondary outcomes include postoperative pain scores, opioid and other analgesic consumption, motor block, quality of recovery, and readiness for discharge. The protocol compares the sensory spread and clinical efficacy of the two needle techniques to determine which approach produces a more reliable lumbar plexus sensory block.
Who should consider this trial
Good fit: Adults undergoing primary total hip replacement who can give informed consent and do not have contraindications to spinal anesthesia or the study drugs are ideal candidates.
Not a fit: Patients with pre-existing lumbar neuropathies, revision hip surgery, contraindications to spinal anesthesia, severe kidney failure, pregnancy, or active substance abuse are unlikely to benefit or meet eligibility.
Why it matters
Potential benefit: If successful, the better needle technique could produce more reliable numbness near the hip, reduce postoperative pain and opioid needs, and speed recovery after hip replacement.
How similar studies have performed: Some thoracic erector spinae plane block reports show promising analgesia, but diffusion and optimal needle technique at the lumbar level remain debated and not definitively proven.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * primary total hip replacement * informed consent Exclusion Criteria: * allergies to study drugs * spinal anesthesia contraindicated * kidney failure (GFR\<30) * epilepsy, psychiatric disease, neurologic deficits * revision surgery * neuropathies in the lumbar area (tingling, hypoestesia, numbness, motor deficit) * no informed consent * pregnancy * alcohol/opioid abuse * emergency surgery/intensive care
Where this trial is running
Bergamo
- Aast Papa Giovanni Xxiii — Bergamo, Italy (Recruiting)
Study contacts
- Study coordinator: Dario Bugada
- Email: dariobugada@gmail.com
- Phone: +393405230454
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.