SFIB vs Anterior QLB in Total Hip Arthroplasty

Not Applicable

Completed

• Conditions: Pain
• Interventions: Procedure: Ultrasound Guided Suprainguinal Fascia iliaca Block; Procedure: Ultrasound Guided Anterior Quadratus Lumborum Block

• Registration Number: NCT05684471
• Lead Sponsor: Samsun University

Brief Summary

Quadratus lumborum block (QLB) is a facial plane block defined to provide analgesia from T7-L3 dermatomes. There are articles reporting that it is an effective analgesic method in hip surgeries. Suprainguinal fascia iliaca block (SIFIB) also blocks components of the lumbar plexus and provides effective analgesia in hip surgeries. The investigators aim to compare the effectiveness of QLB and SIFIB in patients undergoing primary total hip arthroplasty (THA).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-01-05
• Study First Submitted QC: 2023-01-05
• Study First Posted: 2023-01-13
• Study Start: 2023-01-18
• Status Verified: 2024-05
• Primary Completion: 2024-05-07
• Study Completion: 2024-05-07
• Last Update Submitted: 2024-05-07
• Last Update Posted: 2024-05-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 65

Inclusion Criteria

• American Society of Anesthesiologists (ASA) classification I-II-III
• Scheduled for total hip artroplasty surgery under spinal anesthesia

Exclusion Criteria

• Patients who did not want to participate in the study
• Patients with cognitive dysfunction who cannot evaluate the NRS score and cannot use PCA
• Known local anesthetics and opioid allergy,
• Pregnancy or lactation
• Patients with a contraindication to spinal and regional anesthesia
• Presence of multiple fractures

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Ultrasound Guided Suprainguinal Fascia iliaca Block	Ultrasound Guided Suprainguinal Fascia iliaca Block	Patients randomized to receive suprainguinal fascia iliaca block
Ultrasound Guided Anterior quadratus lumborum block	Ultrasound Guided Anterior Quadratus Lumborum Block	Patients randomized to receive anterior quadratus lumborum block

Primary Outcome Measures

Name	Time	Method
Cumulative opioid comsumption	up to 24 hour	Morphine consumptions for both group will be recorded

Secondary Outcome Measures

Name	Time	Method
Quality of Recovery (QoR-15)	at 24th hour	The impact of surgical and anesthetic interventions on perioperative quality of life and ability to resume routine life activities will be assessed using the Quality of Recovery (QoR) tool. The QoR-15 scale is a patient-based outcome measure in the form of a 15-item validated questionnaire.
Numeric rating scale for postoperative pain intensity	up to 24 hours	Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. (3-6-12-18-24th hour) NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").
Presence of quadriceps motor block (defined as paralysis or paresis).	up to 24 hours	Quadriceps motor function will be tested with the patient supine and with the hip and knee flexed at 45º and 90º, respectively. The subject will be asked to extend the knee first against gravity and then against resistance. Quadriceps strength will be graded according to a 3-point scale: normal strength = 0 point (extension against resistance); paresis = 1 point (extension against gravity but not against resistance); and paralysis = 2 points (no extension).

Trial Locations

Locations (1)

Samsun University; 🇹🇷 Samsun, Turkey