{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:49:12Z","timestamp":1789202952995,"version":"build-2803163510"},"reference-count":48,"publisher":"Baycinar Tibbi Yayincilik","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Agri"],"accepted":{"date-parts":[[2026,3,9]]},"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study aims to assess the efficacy of erector spinae plane block (ESPB) for postoperative analgesia in patients undergoing total hip arthroplasty (THA) under spinal anesthesia.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Patients and Methods:<\/jats:bold>\n                    In this randomized-controlled trial, a total of 30 patients (American Society of Anesthesiologists Class I-III, 20 to 65 years) who underwent elective unilateral THA under spinal anesthesia were included between January 2023 and December 2023. The patients were randomized either to Group E (n = 15) to receive ultrasound-guided lumbar ESPB with 40 mL of 0.25% bupivacaine in addition to spinal anesthesia (2.5 mL of 0.5% hyperbaric bupivacaine with 10 \u00b5g of fentanyl), or Group C (n = 15) who received spinal anesthesia alone. Primary outcomes were duration of analgesia and Visual Analog Scale (VAS) scores at 6 h. Secondary outcomes included VAS scores at 0, 0.5, 2, 4, 12, 24 h and total additional analgesic requirement in the first 24 h.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of a total of 30 patients included in the study, 22 were male and 8 were female with a mean age of 36.86 \u00b1 13.24 (range, 18 to 65) years. The duration of analgesia was significantly longer in group E (10.76 \u00b1 1.96 h\n                    <jats:bold>\n                      <jats:italic>vs.<\/jats:italic>\n                    <\/jats:bold>\n                    4.18 \u00b1 1.36 h;\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.01). The VAS scores were lower in group E at 0.5 h (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.009), 2 h (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), 4 h (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), 6 h (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), and 12 h (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02). Additional analgesic requirement during the first 24 h was higher in Group C. Surgeon and patient satisfaction scores significantly improved in Group E. No hemodynamic instability or motor weakness was observed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Lumbar ESPB with 40 mL of 0.25% bupivacaine significantly prolongs postoperative analgesia and reduces pain scores and analgesic consumption in patients undergoing THA under spinal anesthesia. Based on these findings, lumbar ESPB may provide effective and safe adjunctive analgesia in this patient population.\n                  <\/jats:p>","DOI":"10.5606\/agri.2026.41","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:41:02Z","timestamp":1785836462000},"page":"188-197","source":"Crossref","is-referenced-by-count":1,"title":["Erector spinae plane block for postoperative analgesia in total hip arthroplasty: A randomized-controlled trial"],"prefix":"10.5606","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4717-7374","authenticated-orcid":false,"given":"Mansi","family":"Tomar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0700-2941","authenticated-orcid":false,"given":"Anju Romina","family":"Bhalotra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1145-4281","authenticated-orcid":false,"given":"Snigdha","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3941-1398","authenticated-orcid":false,"given":"Rahil","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3570","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Zhao J, Davis SP. An integrative review of multimodal pain management on patient recovery after total hip and knee arthroplasty. Int J Nurs Stud 2019;98:94-106. doi: 10.1016\/j. ijnurstu.2019.06.010.","DOI":"10.1016\/j.ijnurstu.2019.06.010"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Hamilton DF, Lane JV, Gaston P, Patton JT, Macdonald D, Simpson AH, et al. What determines patient satisfaction with surgery? A prospective cohort study of 4709 patients following total joint replacement. BMJ Open 2013;3:e002525. doi: 10.1136\/ bmjopen-2012-002525.","DOI":"10.1136\/bmjopen-2012-002525"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Stark N, Kerr S, Stevens J. Prevalence and predictors of persistent post-surgical opioid use: A prospective observational cohort study. Anaesth Intensive Care 2017;45:700-6. doi: 10.1177\/0310057X1704500609.","DOI":"10.1177\/0310057X1704500609"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Anger M, Valovska T, Beloeil H, Lirk P, Joshi GP, Van de Velde M, et al. PROSPECT guideline for total hip arthroplasty: A systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia 2021;76:1082-97. doi: 10.1111\/ anae.15498.","DOI":"10.1111\/anae.15498"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Macfarlane AJ, Prasad GA, Chan VW, Brull R. Does regional anaesthesia improve outcome after total hip arthroplasty? A systematic review. Br J Anaesth 2009;103:335-45. doi: 10.1093\/bja\/ aep208.","DOI":"10.1093\/bja\/aep208"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med 2016;41:621-7. doi: 10.1097\/ AAP.0000000000000451.","DOI":"10.1097\/AAP.0000000000000451"},{"key":"ref-7","unstructured":"NYSORA - World Leader in Anesthesiology Education: [Internet]. New York, NY; 1994. Available from: https:\/\/www.nysora.com [Accessed: 24.02.2024]"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral Erector Spinae Plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia 2017;72:452-60. doi: 10.1111\/anae.13814.","DOI":"10.1111\/anae.13814"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Jain K, Jaiswal V, Puri A. Erector spinae plane block: Relatively new block on horizon with a wide spectrum of application - A case series. Indian J Anaesth 2018;62:809-13. doi: 10.4103\/ija.IJA_263_18.","DOI":"10.4103\/ija.IJA_263_18"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Raft J, Chin KJ, Belanger ME, Clairoux A, Richeb\u00e9 P, Brulotte V. Continuous erector spinae plane block for thoracotomy analgesia after epidural failure. J Clin Anesth 2019;54:132-3. doi: 10.1016\/j. jclinane.2018.10.024.","DOI":"10.1016\/j.jclinane.2018.10.024"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Tulgar S, Selvi O, Kapakli MS. Erector spinae plane block for different laparoscopic abdominal surgeries: Case series. Case Rep Anesthesiol 2018;2018:3947281. doi: 10.1155\/2018\/3947281.","DOI":"10.1155\/2018\/3947281"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Kot P, Rodriguez P, Granell M, Cano B, Rovira L, Morales J, et al. The erector spinae plane block: A narrative review. Korean J Anesthesiol. 2019;72:209-20. doi: 10.4097\/kja.d.19.00012.","DOI":"10.4097\/kja.d.19.00012"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Tulgar S, Selvi O, Senturk O, Ermis MN, Cubuk R, Ozer Z. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. J Clin Anesth 2018;47:5-6. doi: 10.1016\/j.jclinane.2018.02.014.","DOI":"10.1016\/j.jclinane.2018.02.014"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Tulgar S, Ermis MN, Ozer Z. Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture. Indian J Anaesth 2018;62:802-5. doi: 10.4103\/ija. IJA_230_18.","DOI":"10.4103\/ija.IJA_230_18"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Darling CE, Pun SY, Caruso TJ, Tsui BCH. Successful directional thoracic erector spinae plane block after failed lumbar plexus block in hip joint and proximal femur surgery. J Clin Anesth 2018;49:1-2. doi: 10.1016\/j.jclinane.2018.05.002.","DOI":"10.1016\/j.jclinane.2018.05.002"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Ahiskalioglu A, Tulgar S, Celik M, Ozer Z, Alici HA, Aydin ME. Lumbar erector spinae plane block as a main anesthetic method for hip surgery in high risk elderly patients: Initial experience with a magnetic resonance imaging. Eurasian J Med 2020;52:16-20. doi: 10.5152\/eurasianjmed.2020.19224.","DOI":"10.5152\/eurasianjmed.2020.19224"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Pawa A, King C, Thang C, White L. Erector spinae plane block: The ultimate 'plan A' block? Br J Anaesth 2023;130:497-502. doi: 10.1016\/j. bja.2023.01.012.","DOI":"10.1016\/j.bja.2023.01.012"},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Abdelnasser A, Zoheir H, Rady A, Ramzy M, Abdelhamid BM. Effectiveness of ultrasound-guided erector spinae plane block for postoperative pain control in hip replacement surgeries; A pilot study. J Clin Anesth 2020;62:109732. doi: 10.1016\/j. jclinane.2020.109732.","DOI":"10.1016\/j.jclinane.2020.109732"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Huda AU, Ghafoor H. The use of erector spinae plane block reduces opioid consumption and pain score in postoperative period after hip surgery: A meta-analysis. Cureus 2023;15:e47477. doi: 10.7759\/ cureus.47477.","DOI":"10.7759\/cureus.47477"},{"key":"ref-20","doi-asserted-by":"crossref","unstructured":"Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. J Am Acad Orthop Surg Glob Res Rev 2018;2:e088. doi: 10.5435\/ JAAOSGlobal-D-17-00088.","DOI":"10.5435\/JAAOSGlobal-D-17-00088"},{"key":"ref-21","doi-asserted-by":"crossref","unstructured":"Merlini L. Measuring muscle strength in clinical trials. Lancet Neurol 2010;9:1146. doi: 10.1016\/S1474-4422(10)70285-4.","DOI":"10.1016\/S1474-4422(10)70285-4"},{"key":"ref-22","doi-asserted-by":"crossref","unstructured":"Joshi A, Kale S, Chandel S, Pal D. Likert scale: Explored and explained. Br J Appl Sci Technol 2015;7:396-403.","DOI":"10.9734\/BJAST\/2015\/14975"},{"key":"ref-23","doi-asserted-by":"crossref","unstructured":"Seewal R, Shende D, Kashyap L, Mohan V. Effect of addition of various doses of fentanyl intrathecally to 0.5% hyperbaric bupivacaine on perioperative analgesia and subarachnoid-block characteristics in lower abdominal surgery: A dose-response study. Reg Anesth Pain Med 2007;32:20-6. doi: 10.1016\/j. rapm.2006.09.007.","DOI":"10.1097\/00115550-200701000-00005"},{"key":"ref-24","doi-asserted-by":"crossref","unstructured":"Bugada D, Bellini V, Lorini LF, Mariano ER. Update on selective regional analgesia for hip surgery patients. Anesthesiol Clin 2018;36:403-15. doi: 10.1016\/j.anclin.2018.04.001.","DOI":"10.1016\/j.anclin.2018.04.001"},{"key":"ref-25","doi-asserted-by":"crossref","unstructured":"Petis S, Howard JL, Lanting BL, Vasarhelyi EM. Surgical approach in primary total hip arthroplasty: Anatomy, technique and clinical outcomes. Can J Surg 2015;58:128-39. doi: 10.1503\/cjs.007214.","DOI":"10.1503\/cjs.007214"},{"key":"ref-26","doi-asserted-by":"crossref","unstructured":"Iwanaga J, Simonds E, Schumacher M, Yilmaz E, Altafulla J, Tubbs RS. Anatomic study of the superior cluneal nerve and its related groove on the iliac crest. World Neurosurg 2019;125:e925-8. doi: 10.1016\/j. wneu.2019.01.210.","DOI":"10.1016\/j.wneu.2019.01.210"},{"key":"ref-27","doi-asserted-by":"crossref","unstructured":"Davies A, Crossley A, Harper M, O'Loughlin E. Lateral cutaneous femoral nerve blockade-limited skin incision coverage in hip arthroplasty. Anaesth Intensive Care 2014;42:625-30. doi: 10.1177\/0310057X1404200513.","DOI":"10.1177\/0310057X1404200513"},{"key":"ref-28","doi-asserted-by":"crossref","unstructured":"Tomlinson J, Ondruschka B, Prietzel T, Zwirner J, Hammer N. A systematic review and meta-analysis of the hip capsule innervation and its clinical implications. Sci Rep 2021;11:5299. doi: 10.1038\/ s41598-021-84345-z.","DOI":"10.1038\/s41598-021-84345-z"},{"key":"ref-29","doi-asserted-by":"crossref","unstructured":"Gadsden J, Warlick A. Regional anesthesia for the trauma patient: Improving patient outcomes. Local Reg Anesth 2015;8:45-55. doi: 10.2147\/LRA.S55322.","DOI":"10.2147\/LRA.S55322"},{"key":"ref-30","doi-asserted-by":"crossref","unstructured":"Ueshima H, Inagaki M, Toyone T, Otake H. Efficacy of the erector spinae plane block for lumbar spinal surgery: A retrospective study. Asian Spine J 2019;13:254-7. doi: 10.31616\/asj.2018.0114.","DOI":"10.31616\/asj.2018.0114"},{"key":"ref-31","doi-asserted-by":"crossref","unstructured":"Fusco P, Di Carlo S, Chiavari R, De Paolis V, Tonelli E, Degan G, et al. Lumbar erector spinae plane block associated with dry needling could be a winning strategy in the management of low back pain. J Clin Anesth 2020;61:109686. doi: 10.1016\/j.jclinane.2019.109686.","DOI":"10.1016\/j.jclinane.2019.109686"},{"key":"ref-32","doi-asserted-by":"crossref","unstructured":"Bugada D, Zarcone AG, Manini M, Lorini LF. Continuous erector spinae block at lumbar level (L4) for prolonged postoperative analgesia after hip surgery. J Clin Anesth 2019;52:24-5. doi: 10.1016\/j. jclinane.2018.08.023.","DOI":"10.1016\/j.jclinane.2018.08.023"},{"key":"ref-33","doi-asserted-by":"crossref","unstructured":"Tulgar S, Senturk O. Ultrasound guided erector spinae plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty. J Clin Anesth 2018;44:68. doi: 10.1016\/j. jclinane.2017.11.006.","DOI":"10.1016\/j.jclinane.2017.11.006"},{"key":"ref-34","doi-asserted-by":"crossref","unstructured":"Aponte A, Sala-Blanch X, Prats-Galino A, Masdeu J, Moreno LA, Sermeus LA. Anatomical evaluation of the extent of spread in the erector spinae plane block: A cadaveric study. Can J Anaesth 2019;66:886-93. doi: 10.1007\/s12630-019-01399-4.","DOI":"10.1007\/s12630-019-01399-4"},{"key":"ref-35","doi-asserted-by":"crossref","unstructured":"Harbell MW, Seamans DP, Koyyalamudi V, Kraus MB, Craner RC, Langley NR. Evaluating the extent of lumbar erector spinae plane block: An anatomical study. Reg Anesth Pain Med 2020;45:640-4. doi: 10.1136\/rapm-2020-101523.","DOI":"10.1136\/rapm-2020-101523"},{"key":"ref-36","doi-asserted-by":"crossref","unstructured":"Chan A, Ng TKT, Tang BYH. Single-shot lumbar erector spinae plane block in total hip replacement: A randomized clinical trial. Anesth Analg 2022;135:829-36. doi: 10.1213\/ANE.0000000000006162.","DOI":"10.1213\/ANE.0000000000006162"},{"key":"ref-37","doi-asserted-by":"crossref","unstructured":"Townsend D, Siddique N, Kimura A, Chein Y, Kamara E, Pope J, et al. Lumbar erector spinae plane block for total hip arthroplasty comparing 24-hour opioid requirements: A randomized controlled study. Anesthesiol Res Pract 2022;2022:9826638. doi: 10.1155\/2022\/9826638.","DOI":"10.1155\/2022\/9826638"},{"key":"ref-38","doi-asserted-by":"crossref","unstructured":"Lennon MJ, Isaac S, Currigan D, O'Leary S, Khan RJK, Fick DP. Erector spinae plane block combined with local infiltration analgesia for total hip arthroplasty: A randomized, placebo controlled, clinical trial. J Clin Anesth 2021;69:110153. doi: 10.1016\/j.jclinane.2020.110153.","DOI":"10.1016\/j.jclinane.2020.110153"},{"key":"ref-39","doi-asserted-by":"crossref","unstructured":"Santonastaso DP, De Chiara A, Kraus E, Bagaphou TC, Togn\u00f9 A, Agnoletti V. Ultrasound guided erector spinae plane block: An alternative technique for providing analgesia after total hip arthroplasty surgery? Minerva Anestesiol 2019;85:801-2. doi: 10.23736\/S0375-9393.19.13459-1.","DOI":"10.23736\/S0375-9393.19.13459-1"},{"key":"ref-40","doi-asserted-by":"crossref","unstructured":"Bheemanna NK, Nagaraj A, Appajigowda NM. Ultrasound guided bilateral erector spinae block with dexamethasone for post-operative analgesia in lumbar spine surgery: a case series. Arch Anesth Crit Care 2023;9:211-4.","DOI":"10.18502\/aacc.v9i3.13115"},{"key":"ref-41","doi-asserted-by":"crossref","unstructured":"Gao Z, Xiao Y, Wang Q, Li Y. Comparison of dexmedetomidine and dexamethasone as adjuvant for ropivacaine in ultrasoundguided erector spinae plane block for video-assisted thoracoscopic lobectomy surgery: A randomized, double-blind, placebo-controlled trial. Ann Transl Med 2019;7:668. doi: 10.21037\/atm.2019.10.74.","DOI":"10.21037\/atm.2019.10.74"},{"key":"ref-42","doi-asserted-by":"crossref","unstructured":"Yu L, Shen X, Liu H. The effect and safety of dexmedetomidine as an adjuvant to local anesthetics in erector spinae plane block: A systematic review and meta-analysis of randomized controlled trials. BMC Anesthesiol 2023;23:61. doi: 10.1186\/s12871-023- 02019-x.","DOI":"10.1186\/s12871-023-02019-x"},{"key":"ref-43","doi-asserted-by":"crossref","unstructured":"Zemedkun A, Admasu W, Jemal B, Abiy S, Mola S, Mulugeta H. Effectiveness of perineural and intravenous dexamethasone added to bupivacaine for transversus abdominis plane block in post-cesarean delivery pain control: A prospective cohort study. Int J Surg Open 2020;24:143-50.","DOI":"10.1016\/j.ijso.2020.05.012"},{"key":"ref-44","doi-asserted-by":"crossref","unstructured":"Singariya G, Saini PK, Choudhary U, Kamal M, Bihani P, Choudhary K, et al. Comparison of analgesic efficacy of perineural dexamethasone in rectus sheath block and intravenous dexamethasone with levobupivacaine in bilateral rectus sheath block for patients undergoing midline abdominal surgery: a randomized controlled trial. Ain-Shams J Anesthesiol 2023;15:66.","DOI":"10.1186\/s42077-023-00353-3"},{"key":"ref-45","doi-asserted-by":"crossref","unstructured":"Kumar K, Woods M, Ludwig N, Lin C. Motor block and hypotension following a high thoracic erector spinae plane block. J Anaesthesiol Clin Pharmacol 2022;38:678-9. doi: 10.4103\/joacp.JOACP_657_20.","DOI":"10.4103\/joacp.JOACP_657_20"},{"key":"ref-46","doi-asserted-by":"crossref","unstructured":"Selvi O, Tulgar S. Ultrasound guided erector spinae plane block as a cause of unintended motor block. Rev Esp Anestesiol Reanim (Engl Ed) 2018;65:589-92. doi: 10.1016\/j.redar.2018.05.009.","DOI":"10.1016\/j.redare.2018.05.003"},{"key":"ref-47","doi-asserted-by":"crossref","unstructured":"De Cassai A, Fasolo A, Geraldini F, Munari M. Motor block following bilateral ESP block. J Clin Anesth 2020;60:23. doi: 10.1016\/j. jclinane.2019.08.029.","DOI":"10.1016\/j.jclinane.2019.08.029"},{"key":"ref-48","doi-asserted-by":"crossref","unstructured":"Karaca \u00d6. Unexpected motor block after ultrasound-guided lumbar erector spinae plane block. 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