The Pericapsular Nerve Block in Total Hip Arthroplasty

Eligibility Criteria

• * Provision of signed and dated informed consent form
• * Stated willingness to comply with all study procedures and availability for the duration of the study
• * Planned primary total hip arthroplasty with anterior (Smith-Peterson) approach
• * ASA score of 1 to 3
• * Indicated for one of the two nerve block groups
• * Must be opioid naïve at screening as defined by the FDA - According to the Food and Drug Administration, opioid-tolerant patients were those currently receiving or who had previously received 60 mg PO morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg PO oxycodone per day, 8 mg PO hydromorphone per day, 25 mg PO oxymorphone per day, 60 mg PO hydrocodone per day, or an equivalent dose of another opioid for a duration of one week or longer (16)
• * Current or previous diagnosis of "chronic pain"
• * Opioid tolerant at time of screening (for a week or longer, at least 60 mg of morphine daily, or at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid.)
• * Diagnosis of ankylosing spondylitis
• * Allergy to any potential medications utilized in any of the two groups
• * Conversion of patient to general anesthesia intraoperatively
• * Treatment with another investigational drug or other intervention for pain
• * Any condition(s) or diagnosis, both physical or psychological, or physical exam finding in the opinion of the investigator that would precludes participation