Comparing Suprainguinal Fascia Iliaca Block With Erector Spinae Plane Block in Hip and Proximal Femur Surgery

Not Applicable

Completed

• Conditions: Regional Anesthesia; Postoperative Pain; Femur Fracture
• Interventions: Procedure: Regional Block Comparison

• Registration Number: NCT05642975
• Lead Sponsor: Marmara University

Brief Summary

Most hip fractures occur in the elderly population. Opioid-related respiratory depression is more common in the elderly population but can cause severe brain damage or death. Reducing the amount of opioids administered before, during and after surgery by adding a regional block may increase the postoperative quality of recovery, reduce chronic pain syndromes, and may potentially facilitate the participation of patients in rehabilitation.

Despite their potential advantages, peripheral nerve blocks are still not widely used in people with hip fractures.

The primary objective of this study is to compare patients' postoperative pain scores and opioid consumption.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-08-01
• Study First Submitted: 2022-11-30
• Study First Submitted QC: 2022-11-30
• Study First Posted: 2022-12-08
• Primary Completion: 2023-05-01
• Study Completion: 2023-05-01
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-21
• Last Update Posted: 2024-08-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• Patients over 18 years old, undergoing hip fracture surgery

Exclusion Criteria

• Patients with solid organ dysfunction, chronic opioid or corticosteroid use, bleeding diathesis, patients receiving inpatient medication, patients with psychiatric disorders and patients who cannot be contacted after surgery.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Suprainguinal Fascia Iliaca Block	Regional Block Comparison	The probe was placed over the inguinal ligament in close proximity to the anterior superior iliac spine and oriented in the parasagittal plane. It was then moved inferomedially along the line of the inguinal ligament to visualize the 'bow-tie' sign. After confirming the needle's position, a total volume of 30 ml of bupivacaine 0.25% was injected. Spinal anesthesia was administered to the patients in a lateral position using 2.5 ml of 0.5% heavy bupivacaine at the L3-L4 level.
Erector Spinae Plane Block	Regional Block Comparison	The L5, L4, and L3 transverse processes and erector spinae muscles posteriorly were identified using ultrasound. The curved 6-2 MHz transducer was initially placed at the mid-vertebral line in the sagittal plane and then shifted laterally to visualize the erector spinae muscle and transverse process of the L3 vertebra. A total volume of 40 ml of bupivacaine 0.25% was injected. Spinal anesthesia was administered to the patients in a lateral position using 2.5 ml of 0.5% heavy bupivacaine at the L3-L4 level.
Spinal Anesthesia Group (control)	Regional Block Comparison	Spinal anesthesia was administered to the patients in a lateral position using 2.5 ml of 0.5% heavy bupivacaine at the L3-L4 level.

Primary Outcome Measures

Name	Time	Method
Opioid Consumption	48 hours	Comparing opioid consumption via Patient Controlled Analgesia (PCA) device

Secondary Outcome Measures

Name	Time	Method
Patient Satisfaction	48 hours	patient satisfaction score: 0: unsatisfied 5: fully satisfied
The lengths of ICU and hospital stays	7 days
Complications Related to Pain Management	48 hours	complications such as hypothension, nausea, vomiting, itching
Postoperative Pain Scores	48 hours	Comparing pain scores with Numeric Rating Scale (NRS)

Trial Locations

Locations (1)

Marmara University Hospital; 🇹🇷 Istanbul, Turkey