Hip Arthropathy Clinical Trial
Official title:
Comparison of Ultrasound Guided Erector Spinae Block and Supra-inguinal Fascia Iliaca Block for Postoperative Analgesia in Patients Undergoing Hip Arthroplasty: A Randomized Controlled Trial
The aim of this study is to compare between the analgesic efficacy of ESP block and FIB in patients undergoing hip arthroplasty.
Hip arthroplasty surgery is usually associated with severe postoperative pain. Several modalities are usually used for postoperative analgesia in these patients, those include; intravenous analgesia, neuraxial analgesia and peripheral nerve blocks. Peripheral nerve blocks have several advantages such as; potent analgesia, lower motor impairment and minimal systemic complications. Lumbar plexus block and supra-inguinal fascia iliaca block (FIB) are the most commonly performed peripheral nerve blocks for hip surgeries. Fascia iliaca block is one of the most common techniques for pain control after hip surgeries; it can be regarded as an anterior approach of the lumbar plexus. It provides analgesia through spread of local anaesthetic to the femoral and lateral cutaneous femoral nerves. Ultrasound guided erector spinae plane (ESP) block is a recent regional anesthetic technique. It was first described in 2016 for acute and chronic thoracic pain management. It is a paraspinal fascial plane block that provides analgesia through injecting local anesthetic drugs to block the ventral and dorsal rami of spinal nerves in the paravertebral area. To the best of the investigators knowledge, the use of ESP block in hip surgery was only investigated in one study and few case reports. Therefore, further randomized controlled studies are needed to prove this hypothesis. This study aims to investigate the efficacy of ESP block in hip replacement compared to the supra-inguinal FIB. The investigators hypothesize that erector spinae block may provide better postoperative analgesia than fascia iliaca block, since erector spinae block provides analgesic cover for the entire lumbar plexus rather than just peripheral nerves provided by fasicia iliaca. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05556759 -
Anterior Iliopsoas Muscle Space Block Versus Supra-iliac Anterior Quadratus Lumborum Block in Total Hip Arthroplasty
|
N/A | |
Withdrawn |
NCT05030688 -
Fascia Iliaca Compartment Block and PENG Block for Hip Arthroplasty
|
N/A | |
Completed |
NCT05134207 -
The Effect of Oral Carbohydrate Solution on Anxiety and Comfort in Patients Undergoing Hip Arthroplasty
|
N/A | |
Recruiting |
NCT04438265 -
Quadratus Lumborum Type 2 as Chronic Hip Pain Treatment
|
||
Recruiting |
NCT04229368 -
Effect of Vitamin D Status and Repletion on Postoperative Total Joint Arthroplasty Complications
|
N/A | |
Active, not recruiting |
NCT05142462 -
Post Market Clinical Follow-up of EUROSCUP Fixe Acetabular Cup
|
||
Completed |
NCT06083428 -
Erector Spinae vs. PENG Block for Total Hip Arthroplasty
|
Phase 4 | |
Completed |
NCT05396924 -
Rectal Temperature Measurement in Detecting Hypothermia During Hip Arthroscopy
|
N/A | |
Active, not recruiting |
NCT05524363 -
Assessment of Safety and Performances of HYPE SCS Stem Associated to NOVAE Sunfit TH Acetabular Cup in Hip Arthroplasty
|
||
Recruiting |
NCT06147401 -
Comparison of PENG Associated With LFCN Block Versus FICB for Multimodal Analgesic Management in THA
|
N/A | |
Completed |
NCT03977454 -
Periarticular Injection Versus Peripheral Nerve Block in Total Hip Arthroplasty
|
Phase 2 | |
Recruiting |
NCT05397145 -
Iliopsoas Plane Block vs PENG Block for Hip Arthroplasty
|
N/A | |
Completed |
NCT03981354 -
Nutritional Status and Its Modifications After Hip Replacement
|
||
Recruiting |
NCT06257160 -
Superiority Randomized Controlled Trial of Ultrasound-guided PENG Block Compared to Surgical Infiltration in the Analgesia of Posterior Total Hip Arthroplasty Surgery
|
N/A | |
Active, not recruiting |
NCT04995822 -
Post Market Clinical Follow-up of EUROSTEM Femoral Stem
|
||
Completed |
NCT04883788 -
The Impact of COVID-19 Pandemic on Hip and Knee Replacement
|
||
Not yet recruiting |
NCT06317870 -
Pericapsular Nerve Block Versus Intrathecal Morphine for Analgesia After Primary Hip Arthroplasty
|
N/A | |
Completed |
NCT03541798 -
Comparison of Three Different Sitting Positions for Performing Combined Spinal-Epidural Anesthesia
|
N/A | |
Completed |
NCT04306133 -
PENG Block Combined to Wound Infiltration for Hip Replacement
|
N/A | |
Completed |
NCT04123873 -
Effect of Combinations of Paracetamol, Ibuprofen, and Dexamethasone on Patient-Controlled Morphine Consumption in the First 24 Hours After Total Hip Arthroplasty
|
Phase 4 |