Comparison of Ultrasound Guided Erector Spinae Block and Supra-inguinal Fascia Iliaca Block for Postoperative Analgesia in Patients Undergoing Hip Arthroplasty: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 54
- 主要终点
- Total morphine requirements
研究概览
简要总结
The aim of this study is to compare between the analgesic efficacy of ESP block and FIB in patients undergoing hip arthroplasty.
详细描述
Hip arthroplasty surgery is usually associated with severe postoperative pain. Several modalities are usually used for postoperative analgesia in these patients, those include; intravenous analgesia, neuraxial analgesia and peripheral nerve blocks.
Peripheral nerve blocks have several advantages such as; potent analgesia, lower motor impairment and minimal systemic complications.
Lumbar plexus block and supra-inguinal fascia iliaca block (FIB) are the most commonly performed peripheral nerve blocks for hip surgeries.
Fascia iliaca block is one of the most common techniques for pain control after hip surgeries; it can be regarded as an anterior approach of the lumbar plexus. It provides analgesia through spread of local anaesthetic to the femoral and lateral cutaneous femoral nerves.
Ultrasound guided erector spinae plane (ESP) block is a recent regional anesthetic technique. It was first described in 2016 for acute and chronic thoracic pain management. It is a paraspinal fascial plane block that provides analgesia through injecting local anesthetic drugs to block the ventral and dorsal rami of spinal nerves in the paravertebral area.
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, Investigator)
盲法说明
computer-generated sequence. Concealment will be achieved using opaque envelopes. All data will be collected blindly and the authors will perform the blocks without interference in data collection.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 65 years
- •ASA grade I to II
- •Patients scheduled for hip replacement surgeries under subarachnoid block (SAB) e.g. hip hemi-arthroplasty, total hip arthroplasty
排除标准
- •Patient refusal
- •Age below 18 or above 65 years.
- •ASA grade III to IV
- •Patients with known allergies to any of the drugs used.
- •Contraindication to SAB eg. Coagulopathy, infection at the injection site, severe cardiopulmonary disease, diabetic or other neuropathies.
- •Patients receiving opioids for chronic analgesic therapy
- •Inability to comprehend visual analogue scale (VAS)
- •Infection at site of erector spinae or fascia iliaca block.
- •Body mass index >35 kg/m2
结局指标
主要结局
Total morphine requirements
时间窗: 24 hours postoperatively
Amount of morphine required postoperatively
次要结局
- Visual analogue pain score(at rest at 2, 4, 6, 12, 18, and 24 hours postoperatively)
- Time to first postoperative analgesic request(24 hours postoperatively)
- Quadriceps muscle power strength(at 6, 12 and 24 hours postoperatively)
研究者
Ahmed Mohammed Abdallah Moawad
Assistant lecturer
Cairo University