Using nerve blocks to improve pain management in older patients undergoing hip surgery
Combination of Pericapsular Nerve Group and Lumbar Erector Spinae Plane Blocks for Geriatrics Undergoing Total Hip Arthroplasty Under General Anesthesia: A Randomized Controlled Trial
This study is testing if using nerve blocks along with general anesthesia can help older patients have less pain and recover faster after hip surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 120 (estimated) |
| Ages | 75 Years and up |
| Sex | All |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta) |
| Trial ID | NCT06904703 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of pericapsular nerve group and lumbar erector spinae plane blocks as adjuncts to general anesthesia in elderly patients undergoing total hip arthroplasty. The goal is to reduce postoperative pain and complications associated with general anesthesia, particularly in older adults who may have complex medical histories. By targeting specific nerves involved in hip joint sensation, the study aims to enhance pain control and facilitate quicker recovery. The interventions include administering bupivacaine in conjunction with general anesthesia to improve overall outcomes.
Who should consider this trial
Good fit: Ideal candidates are individuals over 75 years old who are scheduled for total hip arthroplasty under general anesthesia.
Not a fit: Patients with a BMI over 30, allergies to local anesthetics, or significant preexisting health conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce postoperative pain and complications for elderly patients undergoing hip surgery.
How similar studies have performed: Similar studies have shown promise in using nerve blocks for pain management in orthopedic surgeries, indicating potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion 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.
Where this trial is running
Tanta
- Faculty of Medicine — Tanta, Egypt (Recruiting)
Study contacts
- Study coordinator: Mai El Hamada, MSc
- Email: drmai7amada93@gmail.com
- Phone: 00201285851295
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.