Psoas Compartment Block Versus Fascia Iliaca Block After Total Hip Arthroplasty

Hillel Yaffe Medical Center

Status: Unknown

Conditions: Pain

Treatments: Drug: Morphine; Drug: Bupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT01378949

2259-11-HYMC

Details and patient eligibility

About

A psoas compartment block has been used with good results for postoperative pain relief after total hip arthroplasty (THA). However, case reports describing serious complications after the use of this block, have been reported. The fascia iliaca compartment block (FICB) has been shown to be a reliable block for postoperative pain relief for procedures and injuries involving the hip. The investigators have not found any literature that has compared these two blocks. This study will compare the two blocks when used for post-operative pain relief after THA.

Enrollment: 90 estimated patients

Sex: All

Ages: 45 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA Class I-III
• Patients undergoing THA for osteoarthritis

Exclusion criteria

• Skin infections adjacent to block site
• Allergy to local analgesics
• Patient unable to understand visual analogue scale (VAS)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

PsCB Group

Active Comparator group

Description:

Ultrasound-Guided Psoas Compartment Block will be used in patients for pain relief after THA

Treatment:

Drug: Bupivacaine

FICB Group

Active Comparator group

Description:

Ultrasound-Guided Fascia Iliaca Compartment Block will be used in patients for pain relief after THA

Treatment:

Drug: Bupivacaine

Patient-Controlled Analgesia

Active Comparator group

Description:

Patient-controlled analgesia will be used for pain relief after THA

Treatment:

Drug: Morphine