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Regional Anesthesia in THR - Comparing the Analgesic Efficacy of Fascia Iliaca Block and Erector Spinae Plane Block

Not Applicable
Completed
Conditions
Postoperative Pain
Registration Number
NCT04574154
Lead Sponsor
Papa Giovanni XXIII Hospital
Brief Summary

THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Fascia Iliaca Block (FIB) and Erector Spinae Plane Block (ESPB) are indirect approaches to the lumbar plexus that resulted to be very promising for THR. However, no studies investigated the analgesic superiority of either FIB or ESPB. In our study the investigators compare FIB and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • primary THR
  • informed consent
Exclusion Criteria
  • allergies to study drugs
  • spinal anesthesia contraindicated
  • kidney failure
  • epilepsy, psychiatric disease, neurologic deficits
  • revision surgery
  • neuropathies in the lumbar area
  • no informed consent
  • pregnancy
  • alcohol/opioid abuse
  • emergency surgery/intensive care

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
morphine24 hours

milligrams of morphine consumed in the first postoperative day

Secondary Outcome Measures
NameTimeMethod
perceived postoperative pain: Numeric Rating Scale (NRS)48 hours

11 point scale from 0 = "no pain" to 10 = "worst imaginable pain"

side effects48 hours

occurrence of nausea/vomiting, ileum, pruritus and urinary retention in the first 48 hours

Trial Locations

Locations (1)

Aast Papa Giovanni Xxiii

🇮🇹

Bergamo, Italy

Aast Papa Giovanni Xxiii
🇮🇹Bergamo, Italy

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