Comparative Evaluation of Lumbar Plexus and Suprainguinal Fascia Iliaca Compartment Blocks

Nationwide Children's Hospital

Status and phase: Completed; Phase 3; Phase 2

Conditions: Orthopedic Disorder

Treatments: Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml

Study type: Interventional

Funder types: Other

Identifiers

NCT03746951

IRB18-01102

Details and patient eligibility

About

The investigators aim to compare the use of a suprainguinal fascia iliaca compartment block vs lumbar plexus block as an adjunct to general anesthesia in pediatric patients undergoing orthopedic procedures involving the hip or upper femur. This study will help determine the efficacy of the two techniques and their advantages when compared to each other including time to perform the block, opioid consumption reduction, effects on postoperative pain, and the length of stay.

Enrollment: 15 patients

Sex: All

Ages: 2 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA grade I-III
• Undergoing elective orthopedic surgical procedures involving the hip and upper thigh

Exclusion criteria

• Local anesthetic allergy
• Skin or localized infection at the site of catheter insertion
• Patient or parent refusal

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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15 participants in 2 patient groups

Fascia iliaca compartment block (FICB)

Active Comparator group

Description:

FICB is a local anesthetic nerve block, a type of local anesthesia, used for the hip, thigh, and knee. It is performed by inserting the needle into the groin.

Treatment:

Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml

Lumbar plexus block (LPB)

Active Comparator group

Description:

LPB is a local anesthetic nerve block, a type of local anesthesia, used for the hip, thigh, and knee. It is performed by inserting the needle into the back.

Treatment:

Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml