Ultrasound Guided Lateral Femoral Cutaneous Block (LFCNB) And Femoral Nerve Block (FNB) For Postoperative Pain Control After Hip Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- -Postoperative Pain
- Sponsor
- University Hospital, Antwerp
- Enrollment
- 210
- Locations
- 1
- Primary Endpoint
- Use of opioids
- Last Updated
- 11 years ago
Overview
Brief Summary
Evaluation of the combination of lateral femoral cutaneous nerve "single shot" and femoral nerve "single shot" block as effective and safe alternative postoperative analgesic technique after hip replacement surgery.
Detailed Description
Clinical evaluation via a prospective, double-blinded, randomized clinical trial, whether ultrasound-guided single femoral block and lateral femoral cutaneous nerve blocks with 20 en 10 cc bupivacaine 0.25% respectively vs. the only ultrasound-guided single femoral block with 20 cc bupivacaine 0.25%, given just prior to elective hip surgery procedure, is effective in reducing acute postoperative pain (VAS scores) and postoperative opiate consumption.
Investigators
Ethisch Comité UZ Antwerpen
Ethische Comité UZ Antwerpen
University Hospital, Antwerp
Eligibility Criteria
Inclusion Criteria
- •Primary hip arthroplasty with posterolateral approach.
Exclusion Criteria
- •Known allergy to levobupivacaine and / or piritramide
- •Known neurological disorders or peripheral neuropathies
- •Existing drug or alcohol abuse
- •Chronic use of pain medication (\> started 3 months ago) not related to the hip suffering
- •Coagulopathy (international normalized ratio) \> 1.4
- •Thrombocytopenia \<70,000 platelets,
- •Pregnancy
- •Local infection hip
- •Hepatic and / or renal impairment
- •BMI\> 45.
Outcomes
Primary Outcomes
Use of opioids
Time Frame: 48 hours
The primary outcome measure will be a consumption of opioids through the Intravenous Patient Controlled Analgesia pump. Those amounts will be measured en documented at the fixed intervals during the first 48 hours post-procedure.
Secondary Outcomes
- Visual analog scale (VAS) scores (0-10)(48 hours)