Comparative evaluation of ultrasound guided suprainguinal fascia iliaca block versus anterior quadratus lumborum block for postoperative analgesia in hip surgeries

Phase 2

Not yet recruiting

• Conditions: Other disorders of the musculoskeletal system and connective tissue,

• Registration Number: CTRI/2024/02/062851
• Lead Sponsor: Dayanand Medical College And Hospital

Brief Summary

Hip surgeries are commonly associated with hyperalgesia affecting recovery and convalescence, therefore effective pain management is of paramount importance. The suprainguinal fascia iliaca (SIFI) block and quadratus lumborum (QL) block are well tolerated and provide site specific analgesia hence gaining popularity.The study will be conducted in a randomized double blinded manner on a total of 54 adult patients belonging to ASA (American Society of Anaesthesiologists) grade I,II,III & IV scheduled for hip surgeries under SAB. Patients will be allocated to two groups of 27 each using computer generated random numbers list.In group S,SIFI block and in group Q,anterior QL block will be administered using 30 ml of 0.2% ropivacaine. Postoperatively, monitoring of vitals and assessment of pain will be conducted using Numerical Rating Scale (NRS) in the Post anaesthesia care unit (PACU) every 2 hourly for first 8 hours and after that 4 hourly till 24 hours. Any patient complaining of NRS>4 will be administered rescue analgesic which is injection tramadol 50mg intravenously to a maximum dose of 400 mg within 24 hours. NRS and total rescue analgesic consumption in 24 hours will be recorded.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-02-22
• Last Update Posted: 2024-08-02

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• 1Patients scheduled for hip surgeries.
• hip hemiarthroplasty, total hip arthroplasty, dynamic hip screw fixation under SAB. 2ASA I, II, III& IV patients. Patient’s cognitive ability to comprehend Numerical Rating Scale (NRS).

Exclusion Criteria

1Patient refusal 2Infection at injection site 3Patient with known allergy to any of the study drug 4Patients receiving epidural/general anaesthesia 5Patients on chronic opioid abuse or use of opioids in chronic analgesia.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the analgesic efficacy of anterior QL block versus SIFI block using NRS in postoperative period (0-24 hours).	0,2,4,6,8,12,16,20,24 hours

Secondary Outcome Measures

Name	Time	Method
⮚Duration of analgesia - Time interval from administration of peripheral nerve block to requirement of first rescue analgesic (tramadol) will be compared in both groups.	⮚Comparative consumption of total opioid (tramadol) in first 24 hours after surgery among both groups.

Trial Locations

Locations (1)

Dayanand Medical College and Hospital; 🇮🇳 Ludhiana, PUNJAB, India

Dayanand Medical College and Hospital

🇮🇳Ludhiana, PUNJAB, India

Dr Neeru Luthra

Principal investigator

9815500960

drneeru1977@yahoo.co.in