The Effect of Application of Fascia Iliaca Compartment Block (FICB) Before or After Spinal Anesthesia on QoR-15 Score in Partial Hip Arthroplasty Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Bupivacain (preoperative)
- Conditions
- Post Operative Pain
- Sponsor
- Başakşehir Çam & Sakura City Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change from baseline QoR-15 at 24 hours postoperatively
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
It reduces pain scores in patients with block and improves the quality of recovery in the postoperative period. In patients who will undergo spinal anesthesia, it will be questioned whether the application of the block before or after surgery makes a difference in the quality of recovery.
Detailed Description
American Society of Anesthesiologists (ASA) physical status I-III patients who are planned for partial hip arthroplasty will be studied in patients over 65 years of age. The patients will be equally randomized into two groups using a computer-generated random number table. In the preoperative period, according to whether FIBP was before or after spinal anesthesia, it will be named as a separate group as Group PreS (Pre-Spinal) and Group PostS (Post-Spinal). The patient will be placed in the lateral decubitus position with the fractured side up. After the spinal anesthesia method was provided with aseptic conditions, 10 mg 0.5% isobaric bupivacaine + 20 mcg Fentanyl injection will be applied using a 26 Gauge pencil point needle through the L3-L4 or L4-L5 intervertebral space. After the patients are in the supine position and aseptic conditions are provided, the fascia on the Iliacus muscle will be determined with the help of an 8-12 MHz linear probe, and the block will be applied with the in-plane technique. During the block, patients will routinely administer 0.2% bupivacaine concentration of 0.5 mL/kg. Demographic data, operation time, perioperative analgesic and sedation need, postoperative pain scores, additional analgesic need, hospitalization and 24th-hour recovery scores will be evaluated.
Investigators
Ergün Mendeş
Principal Investigator
Başakşehir Çam & Sakura City Hospital
Eligibility Criteria
Inclusion Criteria
- •Partial Hip Arthroplasty
- •American Society of Anesthesiologists (ASA) physical status I-III,
- •Patients aged ≥ 65 years
- •Exclusion criteria:
- •Contraindication for central or peripheral blocks,
- •Cognitive Dysfunction,
- •History of chronic opioid use,
- •Previous hip surgery,
- •Serious organ dysfunction,
- •Allergy to any drug used in the study,
Exclusion Criteria
- Not provided
Arms & Interventions
Group PreS
The block will be applied in the preoperative period
Intervention: Bupivacain (preoperative)
Group PreS
The block will be applied in the preoperative period
Intervention: Bupivacaine-fentanyl
Group PostS
The block will be applied in the postoperative period
Intervention: Bupivacaine-fentanyl
Group PostS
The block will be applied in the postoperative period
Intervention: Bupivacain (Postoperative)
Outcomes
Primary Outcomes
Change from baseline QoR-15 at 24 hours postoperatively
Time Frame: Postoperative 24th-hours
The patient-reported Turkish QoR-15 score includes 15 questions that evaluate the patient's postoperative recovery. The QoR-15 score is grouped under two groups, A and B. A high QoR-15 score, a score between 0 (poor) and 10 (excellent) for each item, and a total score of 150 indicate better quality of recovery.
Secondary Outcomes
- Change from baseline Nursing Delirium Screening Scale (N-DSS) at 24 hours postoperatively(Postoperative 24th-hours)
- Postoperative nausea and vomiting(Postoperative 24th hour)
- Analgesic consumption(Postoperative 24th hour)