Comparison of Fascial Iliac Compartment Block and Quadratus Lumborum Block for Hip Surgery

Analgesia Clinical Trial

Official title:

Transmuscular Quadratus Lumborum Block Versus Supra-inguinal Fascial Iliac Compartment Block for Total Hip Arthroplasty: a Randomized, Prospective Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04827121
• Other study ID #: TJ-IRB20210141
• Status: Recruiting
• Phase: N/A
• Start date: May 31, 2021
• Est. completion date: June 1, 2022

Study information

• Verified date: June 2021
• Source: Huazhong University of Science and Technology
• Contact: Shuguang Yang, M.D.
• Phone: +86-150-7107-8161
• Email: yangsuperpro[@]163.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Iliac fascia block has a long history of analgesia in patients with hip fractures. A large number of clinical studies have confirmed its efficacy, and there are also randomized controlled studies supporting its effectiveness in analgesia after total hip replacement surgery.Quadratus lumborum block is a new block technique developed in last decade, and there are also a few randomized controlled studies supporting its effectiveness in postoperative analgesia for total hip replacement.The purpose of the present study was to find out whether these two different approaches of fascial compartment block have similar effects on postoperative analgesia after total hip replacement.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: June 1, 2022
• Est. primary completion date: May 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• ASA class 1-3

• BMI between 20-36kg/m^2

• Scheduled to undergo total hip replacement

Exclusion Criteria:

• A history of chronic opioids or steroid consumption

• Coagulapathy or anticoagulation

• Pregnancy

• Allergic to local anesthetics Neurological dysfunction

Related Conditions & MeSH terms

• Analgesia

Intervention

Procedure:
• Fascial iliac compartment block
Patients will recieve supra-inguinal approach of fascial iliac compartment block under ultrasound guidance with 30 ml of 0.5 percent ropivacaine.
• Quadratus lumborum block
Patients will recieve transmuscular approach of quadratus lumborum block under ultrasound guidance with 30 ml of 0.5 percent ropivacaine.

Locations

Country	Name	City	State
China	Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology	Wuhan	Hubei

Sponsors (1)

Lead Sponsor	Collaborator
Huazhong University of Science and Technology

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cumulative opioids consumption at 24 hours	Cumulative consumption of sufentanil from PCA device at 24 hours after surgery	Within 24 hours
Secondary	NRS score with movement at 6,12,and 24 hours	Patients' NRS score with movement at 6,12,and 24 hours after surgery	at 6,12,and 24 hours