ESPB vs FICB for Pain Management Following Total Hip Prosthesis Surgery

Hip arthroplasty surgery is frequently performed on elderly patients in the community and it is associated with long-term postoperative hospital stays and high mortality.Postoperative pain management is a multimodal process that includes intravenous and regional anesthesia methods. The ultrasound(US) guided erector spinae plane block (ESPB) is injected with a local anesthetic into the deep fascia of the erector spinae. In the literature, it has been reported that ESPB provides effective analgesia after a hip surgery. The fascia iliaca compartment block (FICB) is a safe method used for postoperative analgesia following hip, femoral, and knee surgeries.The aim of this study is to compare US-guided FICB and ESPB for postoperative analgesia management after total hip prosthesis surgery.

Inclusion Criteria:Patients with ASA classification I-IIIAged 18-80 yearsWho will be scheduled for total hip prosthesis surgery under spinal anesthesiaExclusion Criteria:Patients who have a history of bleeding diathesisTake anticoagulant therapyHistory of chronic pain before surgeryKnown local anesthetics and opioid allergyPregnancy or lactationInfection at the site of blockPatients who do not accept the procedure