Supra-inguinal Fascia Iliaca Compartment Block on Postoperative Management in Total Hip Arthroplasty by Posterior Approach

University of Liege

Status and phase: Completed; Phase 4

Conditions: Arthropathy of Hip

Treatments: Procedure: Supra-inguinal fascia iliaca compartment block; Drug: Multimodal analgesia and PCA morphine pump

Study type: Interventional

Funder types: Other

Identifiers

NCT04574479

2020/67

Details and patient eligibility

About

Find the impact of supra-inguinal fascia iliaca compartment block on postoperative pain management after total hip arthroplasty by posterior surgical approach

Full description

ASA physical status 1, 2 and 3 patients scheduled to undergo elective surgery of total hip arthroplasty under spinal anesthesia.

The investigators would like to study the impact of supra-inguinal fascia iliaca block on postoperative pain management after total hip arthroplasty by posterior surgical approach. The principal investigator perform this block with ultrasound technique. The investigators also want to observe if this loco-regional new approach to fascia iliaca block could have influence on opioid side effects, postoperative nausea and vomiting, length of hospitalisation and first mobilisation side effects.

Enrollment: 86 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults patients scheduled to undergo elective surgery of total hip arthroplasty by posterior surgical aboard

Exclusion criteria

• Patient refusal
• Allergy to used medications or local infection.
• Pregnancy
• Obesity with body mass index > 35
• History of chronic pain or fibromyalgia
• Drug (opioids) addiction
• Treatment with corticosteroids for more than 6 months
• Severe kidney or liver diseases
• Mental disorders or serious neurological diseases

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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86 participants in 2 patient groups, including a placebo group

Placebo

Placebo Comparator group

Description:

Placebo group: patients have multimodal analgesia without fascia-iliaca compartment block

Treatment:

Drug: Multimodal analgesia and PCA morphine pump

Fascia iliaca block

Experimental group

Description:

Patients in this arm have multimodal analgesia with supra-inguinal fascia iliaca compartment block before surgery

Treatment:

Drug: Multimodal analgesia and PCA morphine pump

Procedure: Supra-inguinal fascia iliaca compartment block