PENG Block Optimization: Volume and Dexamethasone Effects
NCT07023120 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-03-16
Summary
This randomized controlled trial investigates the impact of local anesthetic volume and perineural dexamethasone on the analgesic and anti-inflammatory effectiveness of the pericapsular nerve group (PENG) block in patients undergoing total hip arthroplasty (THA). Patients were randomized to receive one of four PENG block variants differing in ropivacaine volume (10 mL or 20 mL of 0.2%) and the addition of 4 mg of perineural dexamethasone. The study evaluates postoperative pain, opioid requirements, systemic inflammatory markers, and quadriceps motor preservation.
Conditions
- Hip Arthropathy
- Hip Osteoarthritis
- Hip Arthritis
Interventions
- DRUG
-
Ropivacaine 0.2% Injectable Solution
20ml 0.2% Ropivacaine
- DRUG
-
Dexamethasone 4mg
perineural 4mg Dexamethasone
- DRUG
-
Ropivacaine 0.2% Injectable Solution
10ml 0.2% Ropivacaine
Sponsors & Collaborators
-
Poznan University of Medical Sciences
lead OTHER
Principal Investigators
-
Malgorzata Reysner, M.D. Ph.D. · Poznan University of Medical Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 60 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-25
- Primary Completion
- 2026-02-10
- Completion
- 2026-02-20
Countries
- Poland
Study Locations
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