The Efficacy of Suprainguinal Fascia Iliaca Compartment Block for Analgesia After Elective Total Hip Replacement.

Saint Lucas Hospital, Poland

Status: Completed

Conditions: Anesthesia, Local; Arthropathy of Hip; Analgesia

Treatments: Drug: Dexamethasone; Other: Opioid and non opioid postoperative analgesia.; Other: Fascia iliaca compartment block

Study type: Interventional

Funder types: Other

Identifiers

NCT04690647

FasiaIliaca

Details and patient eligibility

About

Total hip replacement surgery is one of the most common orthopedic interventions. Proper anaesthesia and adequate analgesia is one of the key interests of attending anaesthetist. Recent studies show that ultrasound guided suprainguinal fascia iliaca compartment block may play a significant role in proper management of pain after these procedures. The aim of this study was to assess the clinical usefulness and compare different methods of anaesthesia for total hip replacement surgery via posterolateral approach.

Enrollment: 150 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 18-75 years old
• informed consent to participate in the study
• ASA score I-III
• BMI -19-30kg/m2
• qualified for total hip replacement
• no contraindication to used anesthesia and drugs

Exclusion criteria

• contraindications to spinal anesthesia and regional blocks
• previously coexisting chronic pain
• previously opioids intake
• BMI>30kg/m2
• allergy to drugs using during study
• mental status preventing the usage of patient controlled analgesia pump

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 3 patient groups, including a placebo group

Opioid and non opioid postoperative analgesia.

Placebo Comparator group

Description:

Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.

Treatment:

Other: Opioid and non opioid postoperative analgesia.

Regional anaesthesia, opioid and non opioid postoperative analgesia.

Experimental group

Description:

Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.

Treatment:

Other: Opioid and non opioid postoperative analgesia.

Other: Fascia iliaca compartment block

Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia

Experimental group

Description:

Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.

Treatment:

Other: Opioid and non opioid postoperative analgesia.

Other: Fascia iliaca compartment block

Drug: Dexamethasone