The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Hospital stay [days]
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Opioid and non opioid postoperative analgesia.
Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.
干预措施: Opioid and non opioid postoperative analgesia. (Other)
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.
干预措施: Opioid and non opioid postoperative analgesia. (Other)
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.
干预措施: Fascia iliaca compartment block (Other)
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.
干预措施: Opioid and non opioid postoperative analgesia. (Other)
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.
干预措施: Fascia iliaca compartment block (Other)
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.
干预措施: Dexamethasone (Drug)
结局指标
主要结局
Hospital stay [days]
时间窗: 31 days
Total length of hospital stay was noted.
Opioid consumption [mg]
时间窗: 48 hours
Postoperative opioid consumption was noted.
Opioid related adverse effects
时间窗: 48 hours
Postoperative incidence of nausea, vomiting, constipation and apnea were noted.
次要结局
- Likert scale(31 days)
研究者
Wojciech Gola
MD, Head of The Department of Anesthesia
Saint Lucas Hospital, Poland