Continuous Epidural Analgesia Versus Continuous Supra-Inguinal Fascia Iliaca Block in Total Hip Replacement Surgery (S-FICB)

Alexandria University

Status: Unknown

Conditions: Postoperative Pain

Treatments: Procedure: supra-inguinal fascia iliaca compartment block; Procedure: continuous epidural analgesia

Study type: Interventional

Funder types: Other

Identifiers

NCT04196439

supra-inguinal fascia iliaca

Details and patient eligibility

About

comparison of continuous epidural analgesia and ultrasound guided continuous supra-inguinal fascia iliaca compartment block after total hip replacement surgery

Full description

supra-inguinal FICB is a promising safe approach for lumbar plexus that may be useful for analgesia in hip surgeries.In this study the investigators are comparing continuous S-FICB with continuous epidural analgesia after total hip arthroplasty surgeries with the primary aim to assess efficacy of post-operative analgesia, and secondary aim to assess rehabilitation indices, side effects and radiological pattern of local anaesthetic distribution after S-FICB.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• orthopaedic patients, American Society of Anesthesiologists (ASA) physical status I-III, scheduled to undergo unilateral total hip replacement surgery via lateral approach

Exclusion criteria

• 1- History of neurological/neuromuscular, psychiatric disease, dementia preventing proper comprehension.

  2- Patients younger than 18 years or older than 80 years. 3- Patients with Body Mass Index (BMI) <18.5 or >30 kg/m2. 4- Coagulation disturbances (INR>1.4, platelet count<100 000). 5- History of opioid dependence (opioid use within the last 4 weeks). 6- History of allergies to study medications. 7- Other contraindications to neuraxial blockade (e.g., patient refusal, local/systemic sepsis, low fixed cardiac output).

  8- Contraindications to continuous fascia iliaca compartment block (e.g., infection overlying the injection site or previous femoro-popliteal bypass surgery).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

60 participants in 2 patient groups

continuous epidural analgesia

Active Comparator group

Description:

continuous lumbar epidural catheter inserted preoperatively before induction of general anaesthesia

Treatment:

Procedure: continuous epidural analgesia

continuous supra-inguinal fascia iliaca compartment block

Active Comparator group

Description:

ultrasound guided supra-inguinal FICB with insertion of catheter for continuous infusion before induction of general anaesthesia.

Treatment:

Procedure: supra-inguinal fascia iliaca compartment block