SFIB vs Anterior QLB in Total Hip Arthroplasty

Samsun University

Status: Completed

Conditions: Pain

Treatments: Procedure: Ultrasound Guided Anterior Quadratus Lumborum Block; Procedure: Ultrasound Guided Suprainguinal Fascia iliaca Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05684471

LINRA

Details and patient eligibility

About

Quadratus lumborum block (QLB) is a facial plane block defined to provide analgesia from T7-L3 dermatomes. There are articles reporting that it is an effective analgesic method in hip surgeries. Suprainguinal fascia iliaca block (SIFIB) also blocks components of the lumbar plexus and provides effective analgesia in hip surgeries. The investigators aim to compare the effectiveness of QLB and SIFIB in patients undergoing primary total hip arthroplasty (THA).

Enrollment: 65 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) classification I-II-III
• Scheduled for total hip artroplasty surgery under spinal anesthesia

Exclusion criteria

• Patients who did not want to participate in the study
• Patients with cognitive dysfunction who cannot evaluate the NRS score and cannot use PCA
• Known local anesthetics and opioid allergy,
• Pregnancy or lactation
• Patients with a contraindication to spinal and regional anesthesia
• Presence of multiple fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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65 participants in 2 patient groups

Ultrasound Guided Suprainguinal Fascia iliaca Block

Active Comparator group

Description:

Patients randomized to receive suprainguinal fascia iliaca block

Treatment:

Procedure: Ultrasound Guided Suprainguinal Fascia iliaca Block

Ultrasound Guided Anterior quadratus lumborum block

Active Comparator group

Description:

Patients randomized to receive anterior quadratus lumborum block

Treatment:

Procedure: Ultrasound Guided Anterior Quadratus Lumborum Block