Regional Anesthesia in THR - Comparing the Analgesic Efficacy of Fascia Iliaca Block and Erector Spinae Plane Block (PTA-ALR)

Papa Giovanni XXIII Hospital

Status: Completed

Conditions: Postoperative Pain

Treatments: Procedure: FIB; Procedure: ESPB; Procedure: spinal anesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT04574154

191-19000

Details and patient eligibility

About

THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Fascia Iliaca Block (FIB) and Erector Spinae Plane Block (ESPB) are indirect approaches to the lumbar plexus that resulted to be very promising for THR. However, no studies investigated the analgesic superiority of either FIB or ESPB. In our study the investigators compare FIB and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.

Enrollment: 64 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• primary THR
• informed consent

Exclusion criteria

• allergies to study drugs
• spinal anesthesia contraindicated
• kidney failure
• epilepsy, psychiatric disease, neurologic deficits
• revision surgery
• neuropathies in the lumbar area
• no informed consent
• pregnancy
• alcohol/opioid abuse
• emergency surgery/intensive care

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

FIB

Experimental group

Description:

ultrasound guided Fascia Iliaca Block

Treatment:

Procedure: spinal anesthesia

Procedure: FIB

ESPB

Experimental group

Description:

ultrasound guided Erector Spinae Plane Block

Treatment:

Procedure: spinal anesthesia

Procedure: ESPB