Erector Spinae vs Fascia Iliaca Block in Hip Arthroplasty Post-operative Analgesia With Erector Spinae Plane Block After Total Hip Replacement Surgery
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- Post-operative pain level measured by morphine consumption using patient-controlled intravenous analgesia
研究概览
简要总结
The thoracic erector spinae plane (ESP) block was first described by Forero et al in September 2016. In their article, the authors presented the possibility of using this block as an option for the control of thoracic neuropathic pain as well as post-operative thoracic pain. The ESP block is done by administering local anesthetic in the plane deep to the erector spinae muscle, which spreads through the costotransverse foramen to the dorsal and ventral roots of the spinal nerves.
Since then, there have been reports about the successful use of this block for bariatric surgery, ventral hernia repair, radical mastectomy, rib fractures, major abdominal surgery and hip replacement. However, there are no studies in the literature comparing the efficacy of the ESP block to other nerve blocks.
The purpose of this study is to compare the post-operative analgesic efficacy of the ESP block to the fascia iliaca (FI) block after total hip replacement (THR).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Surgical plan for total hip replacement
- •Signing of consent form to participate in the study
排除标准
- •Patient refusal
- •BMI > 40 kg/m2
- •Surgical plan for revision of hip replacement
- •Patient unable to quantify pain level
- •Chronic kidney disease with a Glomerular Filtration Rate < 50ml/min
- •Previously medicated with opioids
- •Patient unable to perform the surgery with spinal block
- •Allergy to local anesthetics
- •Infection in the site of the Erector Spinae Plane or Fascia Iliaca block
- •Allergy or contraindication to the use of morphine
结局指标
主要结局
Post-operative pain level measured by morphine consumption using patient-controlled intravenous analgesia
时间窗: At 24 hours post-operative
Total amount (in mg) of morphine administered by a patient-controlled intravenous analgesia pump of morphine 1mg/ml with bolus of 1ml per patient request with a lockout time of 10 minutes
Post-operative pain level measured by the Visual Analog Scale
时间窗: At 24 hours post-operative
Measurement of patient's pain level using the Visual Analog Scale (with a score of 0-100, 0 being no pain and 100 maximum pain)
次要结局
- Sensory block assessed through a tactile stimulation test(At 24 hours post-operative)
- Muscle Strength grade(At 24 hours post-operative)
- Sensory block assessed through a temperature test(At 24 hours post-operative)
- Detection of side effects related to the anesthetic and analgesic technique namely pruritus, urinary retention, nausea and vomiting in each patient(At 24 hours post-operative)
研究者
André Carrão
Principal Investigator
Hospital Beatriz Ângelo