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

A

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

Trial contacts and locations

1

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Central trial contact

ahmad S alabd, master

Data sourced from clinicaltrials.gov

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