{
  "abstract": "Background and Aims Hip replacement surgery is one of the most common procedures in the elderly. The alleviation of postoperative pain should not delay or hinder patients‘ rehabilitation.Methods This study was a randomised controlled trial (RCT) conducted among patients undergoing hip replacement procedures. Each patient, without contraindications to spinal anesthesia and without an allergy to the studied drugs, who obtained written consent, was eligible to participate in this study. In the operating theater, patients were allocated to one of the two studied groups: the continuous epidural analgesia (Epidural) group or the continuous lumbar erector spinae plane block (ESPB) group. Both procedures were performed after spinal anesthesia. A mixture containing 0.1% bupivacaine with fentanyl (2 mcg/mL) was administered at a flow rate of 5 mL/h for 24 hours. In the postoperative period, patients received patient-controlled analgesia (PCA) with oxycodone. The main aim of this study was to examine opioid consumption with PCA pump. The other included pain severity and the Timed Up and Go test (TUG).Results We recruited 30 patients for each of the studied groups. As presented in the figure 1, we did not observe a difference between the ESPB and Epidural groups in oxycodone consumption (11.5 [6–18] vs. 6.5 [3–15]; p = 0.12). Pain severity, both at rest and upon activity, was similar in both groups 4, 8, 24, and 48 hours following the operation. Moreover, we did not find any difference in the TUG 24 hours (29 [24–33] vs. 24 [20–27]; p = 0.12) and 48 hours (19 [16–23] vs. 26 [22–30]; p = 0.12) after the surgery.Conclusions Continuous lumbar ESPB is not inferior to continuous epidural analgesia in patients undergoing scheduled hip replacement surgery in terms of pain treatment and postoperative recovery.Abstract OP08 Figure 1Oxycodone consumption with patient-controlled analgesia",
  "authors": [
    {
      "affiliations": [
        "Anesthesia and Intensive Care, Center of Oncology of the Lublin Region, Lublin, Poland"
      ],
      "name": "Michal Borys"
    },
    {
      "affiliations": [
        "Anesthesia and Intensive Care, Center of Oncology of the Lublin Region, Lublin, Poland"
      ],
      "name": "Pawel Kutnik"
    },
    {
      "affiliations": [
        "Anesthesia and Intensive Care, Provincial Specialized Hospital of Lublin, Lublin, Poland"
      ],
      "name": "Aleksandra Zakrzewska-Szalak"
    },
    {
      "affiliations": [
        "Catholic University of Lublin, Lublin, Poland"
      ],
      "name": "Justyna Wasiewicz"
    },
    {
      "affiliations": [
        "Anesthesia and Intensive Care, Center of Oncology of the Lublin Region, Lublin, Poland"
      ],
      "name": "Pawel Piwowarczyk"
    }
  ],
  "title": "OP08 Lumbar ESPB vs. epidural analgesia in hip replacement surgery",
  "uid": "7409e415-d88a-5d50-9771-2ecdcb88d4ec"
}