Analgesic Efficacy of Quadro-Iliac Plane Block Versus Erector Spinae Plane in Total Hip Arthroplasty: A Randomized Non-Inferiority Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Time to the first rescue analgesia
研究概览
简要总结
This study aims to compare the Quadro-Iliac Plane Block versus Erector Spinae Plane Block after total hip arthroplasty.
详细描述
Total hip arthroplasty (THA) is frequently utilized in elderly patients to address hip pain and restore joint function. Effective postoperative pain management is critical; however, the use of opioids is associated with a range of adverse effects, including nausea, vomiting, pruritus, constipation, respiratory depression, and the risk of dependence.
Quadro-iliac plane block (QIPB) has been introduced, combining elements of both posterior and anterior QLB approaches.
Erector Spinae Plane Block (ESPB) was initially described as an analgesic approach for managing thoracic neuropathic pain. This innovative fascial block technique enables sensory blockade across multiple abdominal and thoracic wall segments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-III.
- •Undergoing total hip arthroplasty (THA) under spinal anesthesia.
排除标准
- •History of allergies to local anesthetics.
- •Opioid dependency.
- •Body mass index (BMI) > 35 kg/m
- •Cognitive impairment.
- •Bleeding or coagulation disorders.
- •Psychiatric and neurological disorder.
- •Local infection at the site of injection.
- •Severe heart, lung, liver, and renal dysfunction.
- •Emergency surgery.
研究组 & 干预措施
QIPB group
Patients will receive ipsilateral Quadro-iliac plane block (QIPB) using 20ml of bupivacaine 0.25%.
干预措施: Quadro-iliac plane block (Other)
ESPB group
Patients will receive ipsilateral erector spinae plane block (ESPB) using 20ml of bupivacaine 0.25%.
干预措施: Erector spinae plane block (Other)
结局指标
主要结局
Time to the first rescue analgesia
时间窗: 24 hours postoperatively
Time to the first request for the rescue analgesia will be recorded from the end of surgery to first dose of morphine administrated.
次要结局
- Total morphine consumption(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Quality of recovery(24 hours postoperatively)
- Incidence of adverse events(24 hours postoperatively)
研究者
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University