The Efficacy of Suprainguinal Fascia Iliaca Compartment Block for Analgesia After Elective Total Hip Replacement.

Not Applicable

Completed

• Conditions: Anesthesia, Local; Analgesia; Arthropathy of Hip
• Interventions: Other: Opioid and non opioid postoperative analgesia.; Other: Fascia iliaca compartment block; Drug: Dexamethasone

• Registration Number: NCT04690647
• Lead Sponsor: Saint Lucas Hospital, Poland

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.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2018-09-28
• Primary Completion: 2019-12-20
• Study Completion: 2019-12-20
• Study First Submitted: 2020-06-04
• Status Verified: 2020-12
• Study First Submitted QC: 2020-12-27
• Last Update Submitted: 2020-12-27
• Study First Posted: 2020-12-31
• Last Update Posted: 2020-12-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Regional anaesthesia, opioid and non opioid postoperative analgesia.	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.
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia	Fascia iliaca compartment block	Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Opioid and non opioid postoperative analgesia.	Opioid and non opioid postoperative analgesia.	Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.
Regional anaesthesia, opioid and non opioid postoperative analgesia.	Fascia iliaca compartment block	Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia	Opioid and non opioid postoperative analgesia.	Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia	Dexamethasone	Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.

Primary Outcome Measures

Name	Time	Method
Opioid consumption [mg]	48 hours	Postoperative opioid consumption was noted.
Hospital stay [days]	31 days	Total length of hospital stay was noted.
Opioid related adverse effects	48 hours	Postoperative incidence of nausea, vomiting, constipation and apnea were noted.

Secondary Outcome Measures

Name	Time	Method
Likert scale	31 days	Likert scale value was noted at the discharge. Value of 1 corresponded with strong dissatisfaction, value of 2 with dissatisfaction, value of 3 with neither satisfaction nor dissatisfaction, value of 4 with satisfaction, value of 5 with strong satisfaction.

Trial Locations

Locations (1)

Saint Lucas Hospital; 🇵🇱 Konskie, Swietokrzyskie, Poland