Osteoarthritis of the Hip Clinical Trial
Official title:
Fascia Iliaca Block for Post-Operative Pain Control After Total Hip Arthroplasty: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study
This study evaluates post-operative pain management and narcotic consumption in patients receiving a fascia iliaca block with local anesthetic versus patients receiving fascia iliaca block with saline for total hip arthroplasty.
Although many improvements have been made in implant technology and surgical approaches for
total hip arthroplasty, management of post-operative pain remains a major clinical issue.
Inadequate pain control can lead to numerous unwanted side effects and limited physical
function, especially in a older population. Most surgeons have adopted a multi-modality pain
management approach using a variety of pharmaceuticals, including nerve block with local
anesthetic. In the literature, there are a number of technical variations described for the
fascia iliaca nerve block. At The Christ Hospital, Cincinnati, Ohio, anesthesiologists use a
more proximal approach to the fasica iliaca block enabling a significantly easier cephalad
spread of the local anesthetic into the pelvis targeting all three nerves; the femoral,
lateral femoral cutaneous, and the obturator.
This prospective, double-blinded, randomized, single-center study is designed to test the
primary hypothesis that fascia iliaca block with a local anesthestic decreases narcotic
consumption and provides improved pain control compared to placebo in the first 24 hours
after surgery in patients undergoing total hip arthroplasty.
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