Lumbar Erector Spinae Plane Block and Fascia Iliaca Compartment Block After Total Hip Arthroplasty

Tanta University

Status and phase: Enrolling; Phase 4

Conditions: Analgesia

Treatments: Drug: Fascia iliaca compartment block (FICB); Drug: Lumbar Erector spinae plane block (L-ESPB); Drug: spinal anesthesia plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05905510

35153/12/21

Details and patient eligibility

About

Compare the analgesic efficacy of ultrasound-guided lumbar erector spinae plane block (L-ESPB) versus fascia iliaca compartment block (FICB) in patients scheduled for total hip arthroplasty.

Full description

Ultrasound-guided erector spinae plane (ESP) block is a recent regional anesthetic technique. It was first described by Forero et al. in 2016 for acute and chronic thoracic pain management. Local anesthetic (LA) is injected between the erector spinae muscle and the vertebra's transverse process, leading to the spread of LA cephalad, caudally, and through the paravertebral space.

Enrollment: 75 estimated patients

Sex: All

Ages: 30 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients aged 30-75 years from both sexes.
2. ASA I-III scheduled for unilateral hip surgery under spinal anesthesia.

Exclusion criteria

1. Patients' refusal.
2. Patients who were unable to co-operate with researchers.
3. History of allergy to local anesthetics.
4. Local infection at the site of the block.
5. Patients with bleeding and coagulation disorders.
6. Patients with renal, hepatic, cardiac decompensation, or spine deformities.
7. Patients receiving opioids for chronic analgesic therapy
8. Body mass index > 35 kg/m2

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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75 participants in 3 patient groups

Control Group

Active Comparator group

Description:

Patients will receive spinal anesthesia alone (30 ml bupivacaine 0. 25%).

Treatment:

Drug: spinal anesthesia plane block

Lumbar Erector spinae plane block (L-ESPB)

Active Comparator group

Description:

Patients will receive spinal anesthesia and then ipsilateral lumbar erector spinae plane block (30 ml bupivacaine 0. 25%) at the level of the lumbar region in the operating room after the end of the surgery.

Treatment:

Drug: Lumbar Erector spinae plane block (L-ESPB)

Fascia iliaca compartment block (FICB)

Active Comparator group

Description:

Patients will receive spinal anesthesia and then ipsilateral suprainguinal fascia iliaca compartment block (30 ml bupivacaine 0. 25%) in the operating room after the end of the surgery.

Treatment:

Drug: Fascia iliaca compartment block (FICB)