Impact of Supra-inguinal Fascia Iliaca Compartment Block on Postoperative Opioid Consumption in Total Hip Arthroplasty Interventions by Posterior Approach
Overview
- Phase
- Phase 4
- Intervention
- Multimodal analgesia and PCA morphine pump
- Conditions
- Arthropathy of Hip
- Sponsor
- University of Liege
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Opioid sparing
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Find the impact of supra-inguinal fascia iliaca compartment block on postoperative pain management after total hip arthroplasty by posterior surgical approach
Detailed Description
ASA physical status 1, 2 and 3 patients scheduled to undergo elective surgery of total hip arthroplasty under spinal anesthesia. The investigators would like to study the impact of supra-inguinal fascia iliaca block on postoperative pain management after total hip arthroplasty by posterior surgical approach. The principal investigator perform this block with ultrasound technique. The investigators also want to observe if this loco-regional new approach to fascia iliaca block could have influence on opioid side effects, postoperative nausea and vomiting, length of hospitalisation and first mobilisation side effects.
Investigators
Jean François Brichant
Head of Anesthesiology Department
University of Liege
Eligibility Criteria
Inclusion Criteria
- •Adults patients scheduled to undergo elective surgery of total hip arthroplasty by posterior surgical aboard
Exclusion Criteria
- •Patient refusal
- •Allergy to used medications or local infection.
- •Pregnancy
- •Obesity with body mass index \> 35
- •History of chronic pain or fibromyalgia
- •Drug (opioids) addiction
- •Treatment with corticosteroids for more than 6 months
- •Severe kidney or liver diseases
- •Mental disorders or serious neurological diseases
Arms & Interventions
Placebo
Placebo group: patients have multimodal analgesia without fascia-iliaca compartment block
Intervention: Multimodal analgesia and PCA morphine pump
Fascia iliaca block
Patients in this arm have multimodal analgesia with supra-inguinal fascia iliaca compartment block before surgery
Intervention: Supra-inguinal fascia iliaca compartment block
Fascia iliaca block
Patients in this arm have multimodal analgesia with supra-inguinal fascia iliaca compartment block before surgery
Intervention: Multimodal analgesia and PCA morphine pump
Outcomes
Primary Outcomes
Opioid sparing
Time Frame: 48 hours after the intervention
Difference in cumulated morphine consumption in the first 48 hours after surgery
Secondary Outcomes
- Opioid secondaries effects(48 hours after the intervention)
- Pain management satisfaction: questionnaire(48 hours after the intervention)