Supra-inguinal Fascia Iliaca Compartment Block on Postoperative Management in Total Hip Arthroplasty by Posterior Approach

Arthropathy of Hip Clinical Trial

Official title:

Impact of Supra-inguinal Fascia Iliaca Compartment Block on Postoperative Opioid Consumption in Total Hip Arthroplasty Interventions by Posterior Approach

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04574479
• Other study ID #: 2020/67
• Status: Completed
• Phase: Phase 4
• Start date: December 16, 2020
• Est. completion date: September 2, 2021

Study information

• Verified date: May 2022
• Source: University of Liege
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Find the impact of supra-inguinal fascia iliaca compartment block on postoperative pain management after total hip arthroplasty by posterior surgical approach

Description:

ASA physical status 1, 2 and 3 patients scheduled to undergo elective surgery of total hip arthroplasty under spinal anesthesia.

The investigators would like to study the impact of supra-inguinal fascia iliaca block on postoperative pain management after total hip arthroplasty by posterior surgical approach. The principal investigator perform this block with ultrasound technique. The investigators also want to observe if this loco-regional new approach to fascia iliaca block could have influence on opioid side effects, postoperative nausea and vomiting, length of hospitalisation and first mobilisation side effects.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 86
• Est. completion date: September 2, 2021
• Est. primary completion date: September 1, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 85 Years

Eligibility

Inclusion Criteria:

• Adults patients scheduled to undergo elective surgery of total hip arthroplasty by posterior surgical aboard

Exclusion Criteria:

• Patient refusal

• Allergy to used medications or local infection.

• Pregnancy

• Obesity with body mass index > 35

• History of chronic pain or fibromyalgia

• Drug (opioids) addiction

• Treatment with corticosteroids for more than 6 months

• Severe kidney or liver diseases

• Mental disorders or serious neurological diseases

Related Conditions & MeSH terms

• Arthropathy of Hip
• Joint Diseases

Intervention

Procedure:
• Supra-inguinal fascia iliaca compartment block
Ultrasound guided loco-regional technique as described by Desmet et al. Fascia iliaca compartment block with in-plane 40 ml ropivacaine 0,375% injection between the ilio-psoas muscle and the internal oblique muscle. Patients in SFICB group have classical multimodal approach to postoperative analgesia with morphine administration by PCA pump

Drug:
• Multimodal analgesia and PCA morphine pump
Patients in placebo group have classical multimodal approach to postoperative analgesia with morphine administration by PCA pump

Locations

Country	Name	City	State
Belgium	CHU de Liège	Liège

Sponsors (1)

Lead Sponsor	Collaborator
University of Liege

Country where clinical trial is conducted

Belgium, 

References & Publications (1)

Desmet M, Balocco AL, Van Belleghem V. Fascia iliaca compartment blocks: Different techniques and review of the literature. Best Pract Res Clin Anaesthesiol. 2019 Mar;33(1):57-66. doi: 10.1016/j.bpa.2019.03.004. Epub 2019 Apr 17. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Opioid sparing	Difference in cumulated morphine consumption in the first 48 hours after surgery	48 hours after the intervention
Secondary	Opioid secondaries effects	incidence of secondary effects related to morphine consumption	48 hours after the intervention
Secondary	Pain management satisfaction: questionnaire	pain management satisfaction score by IPO (International Pain Outcomes) questionnaire	48 hours after the intervention