Knee Osteoarthritis Clinical Trial
Official title:
Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block And Fascia Iliaca Compartment Block for Pain Management Following Total Hip Prosthesis Surgery
Verified date | September 2023 |
Source | Bursa City Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Hip arthroplasty surgery is frequently performed on elderly patients in the community and it is associated with long-term postoperative hospital stays and high mortality. Postoperative pain management is a multimodal process that includes intravenous and regional anesthesia methods. The ultrasound(US) guided erector spinae plane block (ESPB) is injected with a local anesthetic into the deep fascia of the erector spinae. In the literature, it has been reported that ESPB provides effective analgesia after a hip surgery. The fascia iliaca compartment block (FICB) is a safe method used for postoperative analgesia following hip, femoral, and knee surgeries. The aim of this study is to compare US-guided FICB and ESPB for postoperative analgesia management after total hip prosthesis surgery.
Status | Completed |
Enrollment | 60 |
Est. completion date | September 15, 2023 |
Est. primary completion date | August 15, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Patients with ASA classification I-III - Aged 18-80 years - Who will be scheduled for total hip prosthesis surgery under spinal anesthesia Exclusion Criteria: - Patients who have a history of bleeding diathesis - Take anticoagulant therapy - History of chronic pain before surgery - Known local anesthetics and opioid allergy - Pregnancy or lactation - Infection at the site of block - Patients who do not accept the procedure |
Country | Name | City | State |
---|---|---|---|
Turkey | Mursel Ekinci | Bursa |
Lead Sponsor | Collaborator |
---|---|
Mursel Ekinci |
Turkey,
Deniz S, Atim A, Kurklu M, Cayci T, Kurt E. Comparison of the postoperative analgesic efficacy of an ultrasound-guided fascia iliaca compartment block versus 3 in 1 block in hip prosthesis surgery. Agri. 2014;26(4):151-7. doi: 10.5505/agri.2014.76993. — View Citation
Gao Y, Tan H, Sun R, Zhu J. Fascia iliaca compartment block reduces pain and opioid consumption after total hip arthroplasty: A systematic review and meta-analysis. Int J Surg. 2019 May;65:70-79. doi: 10.1016/j.ijsu.2019.03.014. Epub 2019 Mar 25. — View Citation
Tulgar S, Senturk O. Ultrasound guided Erector Spinae Plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty. J Clin Anesth. 2018 Feb;44:68. doi: 10.1016/j.jclinane.2017.11.006. Epub 2017 Nov 14. No abstract available. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Opioid consumption | The tramadol consumption on PCA device will be evaluated | Changes from baseline opioid consumption at postoperative 1, 2, 4, 8, 16 and 24 hours. | |
Secondary | Postoperative pain score | Postoperative pain assessment will be performed using the Numerical Rating Scale (0 = no pain, 10 = the most severe pain felt) | Postoperative 1, 2, 4, 8, 16 and 24 hours |
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