Comparative Study Between Ultrasound-Guided Lumbar Erector Spinae Plane Block and Fascia Iliaca Compartment Block for Postoperative Analgesia After Total Hip Arthroplasty
Overview
- Phase
- Phase 4
- Intervention
- spinal anesthesia plane block
- Conditions
- Analgesia
- Sponsor
- Tanta University
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Assessment of postoperative pain
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Compare the analgesic efficacy of ultrasound-guided lumbar erector spinae plane block (L-ESPB) versus fascia iliaca compartment block (FICB) in patients scheduled for total hip arthroplasty.
Detailed Description
Ultrasound-guided erector spinae plane (ESP) block is a recent regional anesthetic technique. It was first described by Forero et al. in 2016 for acute and chronic thoracic pain management. Local anesthetic (LA) is injected between the erector spinae muscle and the vertebra's transverse process, leading to the spread of LA cephalad, caudally, and through the paravertebral space.
Investigators
Ahmed Ahmed Zahran
Doctor Ahmed Ahmed Eldemrdash Zahran Resident of Anesthesia, Surgical Intensive Care and Pain Management, Faculty of Medicine,Tanta University
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Patients aged 30-75 years from both sexes.
- •ASA I-III scheduled for unilateral hip surgery under spinal anesthesia.
Exclusion Criteria
- •Patients' refusal.
- •Patients who were unable to co-operate with researchers.
- •History of allergy to local anesthetics.
- •Local infection at the site of the block.
- •Patients with bleeding and coagulation disorders.
- •Patients with renal, hepatic, cardiac decompensation, or spine deformities.
- •Patients receiving opioids for chronic analgesic therapy
- •Body mass index \> 35 kg/m2
Arms & Interventions
Control Group
Patients will receive spinal anesthesia alone (30 ml bupivacaine 0. 25%).
Intervention: spinal anesthesia plane block
Lumbar Erector spinae plane block (L-ESPB)
Patients will receive spinal anesthesia and then ipsilateral lumbar erector spinae plane block (30 ml bupivacaine 0. 25%) at the level of the lumbar region in the operating room after the end of the surgery.
Intervention: Lumbar Erector spinae plane block (L-ESPB)
Fascia iliaca compartment block (FICB)
Patients will receive spinal anesthesia and then ipsilateral suprainguinal fascia iliaca compartment block (30 ml bupivacaine 0. 25%) in the operating room after the end of the surgery.
Intervention: Fascia iliaca compartment block (FICB)
Outcomes
Primary Outcomes
Assessment of postoperative pain
Time Frame: UP to 24 hour postoperatively
Assessment of postoperative pain using the Numeric rating scale (NRS), NRS is a valid and simple approach to pain assessment (0= no pain and 10= worst possible pain)
Secondary Outcomes
- Time required for the first rescue analgesia.(Up to 24 hours postoperatively)
- The total postoperative rescue analgesic(first 24 hours postoperatively)
- Adverse effects(Up to 24 hours postoperatively)