Comparison of the Analgesic Effect of Pericapsular Nerve Group Block and Lumbar Erector Spinae Plane Block in Elective Hip Surgery

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dc.authoridALAGOZ, ALI/0000-0002-7538-2213
dc.authorwosidALAGOZ, ALI/AGZ-2429-2022
dc.contributor.authorKucuk, Onur
dc.contributor.authorSag, Fatih
dc.contributor.authorEyrice, Ali
dc.contributor.authorKaradayi, Selman
dc.contributor.authorAlagoz, Ali
dc.contributor.authorColak, Alkin
dc.date.accessioned2024-06-12T11:03:20Z
dc.date.available2024-06-12T11:03:20Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground and Objectives: The aim of this study was to compare the effectiveness of pericapsular nerve group (PENG) and lumbar erector spinae plane (L-ESP) blocks, both administered with a high volume (40 mL) of local anesthetic (LA), for multimodal postoperative analgesia in patients undergoing hip surgery. Materials and Methods: This was a prospective, double-blind, randomized study that included 75 adult patients who were divided into three equal groups: control, PENG, and L-ESP. The study compared pain intensity, morphine consumption, time to first morphine request, and postoperative satisfaction between the control group, which received standard multimodal analgesia, and the block groups, which received PENG or L-ESP block in addition to multimodal analgesia. The numerical rating scale (NRS) was used to measure pain intensity. Results: The results showed that the block groups had lower pain intensity scores and morphine consumption, a longer time to the first morphine request, and higher postoperative satisfaction compared to the control group. The median maximum NRS score during the first 12 h was four in the control group, two in the PENG group, and three in the L-ESP group. The control group (21.52 +/- 9.63 mg) consumed more morphine than the two block groups (PENG, 11.20 +/- 7.55 mg; L-ESP, 12.88 +/- 8.87 mg) and requested morphine 6.8 h earlier and 5 h earlier than the PENG and L-ESP groups, respectively. The control group (median 3) had the lowest Likert satisfaction scores, while the PENG group (median 4) had the lowest NRS scores (L-ESP, median 4). Conclusions: The application of PENG or L-ESP blocks with high-volume LA in patients undergoing hip surgery reduces the need for postoperative analgesia and improves the quality of multimodal analgesia.en_US
dc.identifier.doi10.3390/medicina60050799
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue5en_US
dc.identifier.pmid38792981en_US
dc.identifier.scopus2-s2.0-85194170002en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/medicina60050799
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21603
dc.identifier.volume60en_US
dc.identifier.wosWOS:001231330900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuaniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHipen_US
dc.subjectPericapsular Nerve Group Blocken_US
dc.subjectLumbar Erector Spinae Plane Blocken_US
dc.subjectMultimodal Analgesiaen_US
dc.subjectPain Postoperativeen_US
dc.subjectTotal Joint Arthroplastyen_US
dc.subjectRegional Anesthesiaen_US
dc.subjectReplacementen_US
dc.subjectRecoveryen_US
dc.subjectSocietyen_US
dc.subjectCapsuleen_US
dc.subjectPainen_US
dc.titleComparison of the Analgesic Effect of Pericapsular Nerve Group Block and Lumbar Erector Spinae Plane Block in Elective Hip Surgeryen_US
dc.typeArticleen_US

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