Comparison of Ultrasound Guided Erector Spinae Plane Block Versus Quadratus lumborum Block in hip and Proximal Femur Surgery

Background: The global hip surgery patient group exhibits significant diversity, ranging from physically active young adults who undergo hip arthroscopy to elderly individuals had frailty and various comorbidities. Aim and objectives: To compare between Erector Spinae Plane Block (ESPB) quadratus lumborum block following hip proximal femur surgery under spinal anaesthesia regarding the relief of after-surgery pain. Patients and methods: prospective, randomized double-blinded clinical research performed on sixty individuals in Al-Azhar University Hospitals, in Cairo, after approval by the departmental ethical Committee. patients divided into two groups. Results: There was no statistically significant variance among both groups regarding postoperative VAS following surgery at rest through movement p above 0.05. no statistically significant variance among the two groups regarding pain assessment in terms of morphine consumption, time of analgesia, and patient satisfaction p>0.05. Conclusion: Ultrasound erector spinae block is superior to Ultrasound-guided quadratus lumborum in pain scores, length of analgesia, and total analgesic consumption, but without a statistically significant difference.