The Effect of Dexamethasone Administration Route on Pain and Inflammatory Response in PENG Block for Total Hip Arthroplasty
NCT06789328 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-07-23
Summary
This study aims to evaluate the effect of the dexamethasone administration route (intravenous vs. perineural) on postoperative pain, inflammatory response, and clinical outcomes in patients undergoing total hip arthroplasty (THA) with a pericapsular nerve group (PENG) block. The primary outcome is the intensity of postoperative pain measured using the numerical rating scale (NRS) at rest and during movement. Secondary outcomes include the inflammatory response assessed by neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), opioid consumption, and patient satisfaction. The findings from this study may contribute to optimizing anesthesia protocols and improving postoperative recovery in patients undergoing THA.
Conditions
- Osteoarthritis, Hip
- Hip Pain Chronic
- Hip Arthropathy
- Hip Arthritis
Interventions
- DRUG
-
perineural Dexamethasone 4mg
PENG block with 20ml 0.2% ropivacaine + 4mg perineural Dexamethasone
- DRUG
-
intravenous Dexamethsone 4mg
PENG block with 20ml 0.2% ropivacaine + 4mg intravenous Dexamethasone
Sponsors & Collaborators
-
Poznan University of Medical Sciences
lead OTHER
Principal Investigators
-
Malgorzata Reysner, M.D. Ph.D. · Poznań University of Medical Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2025-06-30
- Completion
- 2025-07-11
Countries
- Poland
Study Locations
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