The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach
Overview
- Phase
- Not Applicable
- Intervention
- Opioid and non opioid postoperative analgesia.
- Conditions
- Anesthesia, Local
- Sponsor
- Saint Lucas Hospital, Poland
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Hospital stay [days]
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Total hip replacement surgery is one of the most common orthopedic interventions. Proper anaesthesia and adequate analgesia is one of the key interests of attending anaesthetist. Recent studies show that ultrasound guided suprainguinal fascia iliaca compartment block may play a significant role in proper management of pain after these procedures. The aim of this study was to assess the clinical usefulness and compare different methods of anaesthesia for total hip replacement surgery via posterolateral approach.
Investigators
Wojciech Gola
MD, Head of The Department of Anesthesia
Saint Lucas Hospital, Poland
Eligibility Criteria
Inclusion Criteria
- •age 18-75 years old
- •informed consent to participate in the study
- •ASA score I-III
- •BMI -19-30kg/m2
- •qualified for total hip replacement
- •no contraindication to used anesthesia and drugs
Exclusion Criteria
- •contraindications to spinal anesthesia and regional blocks
- •previously coexisting chronic pain
- •previously opioids intake
- •BMI\>30kg/m2
- •allergy to drugs using during study
- •mental status preventing the usage of patient controlled analgesia pump
Arms & Interventions
Opioid and non opioid postoperative analgesia.
Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.
Intervention: Opioid and non opioid postoperative analgesia.
Regional anaesthesia, opioid and non opioid postoperative analgesia.
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.
Intervention: Opioid and non opioid postoperative analgesia.
Regional anaesthesia, opioid and non opioid postoperative analgesia.
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.
Intervention: Fascia iliaca compartment block
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Intervention: Opioid and non opioid postoperative analgesia.
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Intervention: Fascia iliaca compartment block
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Intervention: Dexamethasone
Outcomes
Primary Outcomes
Hospital stay [days]
Time Frame: 31 days
Total length of hospital stay was noted.
Opioid consumption [mg]
Time Frame: 48 hours
Postoperative opioid consumption was noted.
Opioid related adverse effects
Time Frame: 48 hours
Postoperative incidence of nausea, vomiting, constipation and apnea were noted.
Secondary Outcomes
- Likert scale(31 days)