Ultrasound Guided Psoas Compartment Block vs Suprainguinal Fascia Iliaca Compartment Block for Pain Management in Pediatric Patients With Developmental Dysplasia Sia of the Hip Joint, Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Postoperative analgesic requirements
研究概览
简要总结
The aim of this study was to compare the intraoperative and the postoperative analgesic effect of psoas compartment block (PCB) and supra-inguinal fascia iliaca compartment block (SFIB) in pediatric patients undergoing developmental dysplasia of the hip
详细描述
All subjects after entering operation room will be connected to standard monitor electrocardiograph, non-invasive blood pressure, heart rate, oxygen saturation.
Three mg/kg of propofol, 0.2 μg/kg of fentanyl and 0.1 mg/kg midazolam will be used for sedation. Oxygen at the concentration of 100% will be administrated under the mask in all patients after satisfactory sedation, tracheal intubation will be performed after intravenous anesthesia with administration of 3 mg/kg of propofol, 0.6 μg/kg of fentanyl and 0.9 mg/kg of rocurium. After intubation 2-3% of sevoflurane and 0.2-0.3 mcg/kg/min of fentanyl will be used to maintain anesthesia guided by PSI and hemodynamic monitoring.
The two groups will receive nerve block with local anesthetics. In the SFIB group, the patients will receive ultrasound-guided SFIB, while the patients in the PCB group will receive PCB under the guidance of ultrasound.
Local anesthetic 0.25% Ropivacaine will be used at 1 ml/kg for SFIB and PCB. (the dose of local anesthetic for SFIB or PCB was not more than 35ml). All blocks will be performed by the same experienced anesthesiologist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 1 Year 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing undergo acetabuloplasty
- •Anesthesiologists (ASA) physical status of I to II
排除标准
- •Known allergy to local anesthetic
- •Infection at the block site.
研究组 & 干预措施
Psoas compartment block
After induction of anesthesia; ultrasound guided psoas compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Fentanyl (Drug)
Psoas compartment block
After induction of anesthesia; ultrasound guided psoas compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Propofol (Drug)
Psoas compartment block
After induction of anesthesia; ultrasound guided psoas compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Rocuronium (Drug)
Psoas compartment block
After induction of anesthesia; ultrasound guided psoas compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Sevoflurane (Drug)
Psoas compartment block
After induction of anesthesia; ultrasound guided psoas compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Ropivacaine (Drug)
Suprainguinal fascia iliaca compartment block
After induction of anesthesia; ultrasound guided suprainguinal fascia iliaca compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Fentanyl (Drug)
Suprainguinal fascia iliaca compartment block
After induction of anesthesia; ultrasound guided suprainguinal fascia iliaca compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Propofol (Drug)
Suprainguinal fascia iliaca compartment block
After induction of anesthesia; ultrasound guided suprainguinal fascia iliaca compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Rocuronium (Drug)
Suprainguinal fascia iliaca compartment block
After induction of anesthesia; ultrasound guided suprainguinal fascia iliaca compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Sevoflurane (Drug)
Suprainguinal fascia iliaca compartment block
After induction of anesthesia; ultrasound guided suprainguinal fascia iliaca compartment block will be done using ropivacaine 0.25% 1ml/kg.
干预措施: Ropivacaine (Drug)
结局指标
主要结局
Postoperative analgesic requirements
时间窗: 8 hours
Postoperative Ketoprofen and morphine consumption
Intraoperative anesthetic requirement
时间窗: 1 hour
Intraoperative anesthetic requirement including intraoperative sevoflurane concentration and total fentanyl consumption
次要结局
未报告次要终点
研究者
Mona Mohamed Mogahed
Associate professor
Tanta University