PRCT of FICB vs LAI for Hip Arthroscopy

NHS Foundation Trust

Status: Completed

Conditions: Femoroacetabular Impingement

Treatments: Procedure: Fascia Iliaca Compartment Block (FICB); Drug: Levobupivacaine; Procedure: Local Anaesthetic Infiltration (LAI)

Study type: Interventional

Funder types: Other

Identifiers

NCT02702661

A092336

Details and patient eligibility

About

A prospective randomised controlled trial involving patients undergoing hip arthroscopy. Participants were randomised to receiving either Fascia Iliaca Compartment Block (FICB) or Local Anaesthetic Infiltration (LAI) of the portal tracts with local anaesthetic. Supplemental analgesia was also used in both groups on an on-demand basis. Pain level is assessed at 1,3,6, and 24 hours post surgery. The primary outcome measure was the post-operative level of pain as assessed by Numeric Pain Score 6 hours after surgery. Secondary outcome measures were the frequency and the dose of morphine and other medications consumed at 1 and 24 hours after surgery as well as any other adverse events relating to pain or medications used for pain relief in both the groups.

Enrollment: 46 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients over the age of 18 years
• Primary elective hip arthroscopy on a native hip for combined soft tissue injuries and FAI pathology
• Able to read, write and communicate in English

Exclusion criteria

• Patients who did not want to be involved in the Trial
• Unable to give informed consent
• Previous hip surgery
• Patients younger than 18 years of age
• Chronic opioids users
• Patients known to have an allergy or intolerance to local anaesthetic agents or none steroidal anti-inflammatory medications

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Procedure - FICB

Experimental group

Description:

Fascia Iliaca Block following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml

Treatment:

Procedure: Fascia Iliaca Compartment Block (FICB)

Drug: Levobupivacaine

Procedure - LAI

Active Comparator group

Description:

Local Anaesthetic Infiltration following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml

Treatment:

Procedure: Local Anaesthetic Infiltration (LAI)

Drug: Levobupivacaine