Analgesic Comparison of PENG/LFCN to FICB for Total Hip Arthroplasty (PengvsFICB)

SSM Health Bone and Joint Hospital at St Anthony

Status: Enrolling

Conditions: Analgesia

Treatments: Procedure: Fascia Iliaca Compartment Block; Procedure: Pericapsular Nerve Group Block with Lateral Femoral Cutaneous Nerve Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05477641

Pro00060032

Details and patient eligibility

About

This study compares 2 commonly used interventions (regional pain blocks) used in hip arthroplasty for pain control. One of the interventions is newer and not widely established.

Full description

This study will compare the FICB to the PENG/LFCN blocks. Patient reported pain scores on a verbal numeric rating scale will be utilized and recorded in the PACU and postoperatively at 3, 6, 12, 18, 24, 36 and 48 hours after patient arrival in the PACU. Additionally, opioid consumption will be converted to morphine milliequivalents and compared between groups.

Enrollment: 105 estimated patients

Sex: All

Ages: 40 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Eligibility criteria for the study were: age 40-80, Physical Status I-III, BMI less than 40 kg/m2, ability to read and speak English, able to sign their own consent form and undergoing elective primary total hip arthroplasty.

Exclusion criteria

• Patients were excluded if they were chronically prescribed opioids for a condition unrelated to their surgical hip pain, were deemed Physical Status 4 or higher, had an ongoing coagulopathy, had any infection near the site of injection, had an allergy to local anesthetics, deemed to have diabetic neuropathy, deemed to have a contraindication to spinal anesthesia or were unable to report their pain scores reliably (as in severe dementia or similar).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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105 participants in 2 patient groups

pericapsular nerve group block and lateral femoral cutaneous nerve block

Active Comparator group

Description:

Nerve blocks

Treatment:

Procedure: Pericapsular Nerve Group Block with Lateral Femoral Cutaneous Nerve Block

Procedure: Fascia Iliaca Compartment Block

fascia iliaca compartment block

Active Comparator group

Description:

Nerve block

Treatment:

Procedure: Pericapsular Nerve Group Block with Lateral Femoral Cutaneous Nerve Block

Procedure: Fascia Iliaca Compartment Block