Iliopsoas Plane Block vs PENG Block for Hip Arthroplasty
Hip Fractures, Hip Injuries, Hip Arthropathy
About this trial
This is an interventional treatment trial for Hip Fractures focused on measuring Hip arthroplasty, Postoperative pain management, PENG block, Iliopsoas plane block
Eligibility Criteria
Inclusion Criteria:
- Patients with ASA classification I-III,
- Aged 20-80 years
- Who will be scheduled for hip arthroplasty under general anesthesia.
Exclusion Criteria:
- Patients who have a history of bleeding diathesis,
- Take anticoagulant therapy,
- History of chronic pain before surgery,
- Multiple trauma,
- Who cannot assess their pain (dementia),
- Who have been operated under spinal or epidural anesthesia,
- Who have an infection in the area and do not accept the procedure
Sites / Locations
- Istanbul Medipol University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Group IPB = Iliopsoas plane block
Group PENG = PENG block
While the patient is in the supine position, the probe will be placed in the transversal plane distal to the anterior superior iliac spine. Then, the probe will be rotated approximately 30° counterclockwise and slid along the inguinal ligament until the femoral head enters the edge of the acetabulum. The block needle will be passed through the sartorius and iliopsoas muscles and the iliopsoas plane between the iliopsoas muscle and the iliofemoral ligament will be reached. After the block site is confirmed with 5 ml of saline, 10 ml of local anesthetic solution containing 0.25% bupivacaine will be injected.
The probe will be placed on the anterior inferior iliac crest in the transverse plane. Then, the pubic ramus will be visualized by rotating 45 degrees. The femoral artery, iliopubic process, and psoas muscle will be visualized. The needle will be punctured with the in-plane method to reach between the pubic ramus and the psoas tendon. After the block site is confirmed with 5 ml of saline, 20 ml of local anesthetic solution containing 0.25% bupivacaine will be injected.