Evaluating the Efficacy of Erector Spinae Block in Routine Hip Arthroscopy

Carilion Clinic

Status: Unknown

Conditions: Postoperative Pain; Hip Disease

Treatments: Procedure: Local block; Procedure: Erector spinae block

Study type: Interventional

Funder types: Other

Identifiers

NCT04917510

IRB-21-1223

Details and patient eligibility

About

The aim of this project is to evaluate the efficacy of preoperative erector spinae blocks in arthroscopic hip surgery. This will be a prospective randomized controlled trial.

Full description

The aim of this project is to evaluate the efficacy of preoperative erector spinae blocks in arthroscopic hip surgery. This will be a prospective randomized controlled trial. The control group will not receive a preoperative block prior to surgery, but will receive local anesthetic at the surgical site at the conclusion of the surgery. The study group will receive a preoperative block and local anesthetic. The primary outcomes will be pain levels and opioid consumption in the post-operative care unit. The secondary outcomes will be pain levels and opioid consumption post-operatively, and functional outcome measures.

Enrollment: 120 estimated patients

Sex: All

Ages: 13 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients undergoing hip arthroscopy for femoroacetabular impingement
• Ages 13-50
• Individuals who have the capacity to provide consent or assent for themselves

Exclusion criteria

• Hip arthroscopy for any other reason (not undergoing labral repair, acetabuloplasty, and femoral osteochondroplasty)
• Revision surgery
• Known narcotic use in the 6 months prior to surgery
• Workman's compensation patient
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

Control

Active Comparator group

Description:

Will not receive erector spinae block. Will be administered 30 mL of 0.5% Marcaine w/ epinephrine as a local block at the surgical site at the conclusion of the procedure.

Treatment:

Procedure: Local block

Study

Experimental group

Description:

Will receive an erector spinae block prior to surgery using 30-45 mL of 0.25 bupivacaine w/ epinephrine and 5 mL of dexmedetomidine. Will be administered 30 mL of 0.5% marcaine w/ epinephrine as a local block at the surgical site at the conclusion of the procedure.

Treatment:

Procedure: Erector spinae block

Procedure: Local block