Pain, Postoperative Clinical Trial
Official title:
A Randomized Comparison Between Ultrasound Guided Lumbar Plexus and Suprainguinal Fascia Iliaca Blocks For Total Hip Replacement Analgesia
The nerves from lumbar plexus (LP) are the current target to achieve analgesia after a total
hip arthroplasty (THA). Lumbar plexus block (LPB) is an alternative that provides optimal
postoperative analgesia. However, many adverse effects and complications have been reported
due to its proximity to vital structures. Because of these shortcomings, an alternative to
block the LP nerves is required.
In a recent trial suprainguinal Fascia Iliaca Block (SFIB) was reported to provide reliable
analgesia in THA. SFIB may carry a lower risk profile, however, no study has compared the
efficacy of LPB and SFIB in this setting.
Thus, this randomized trial is set out to compare US guided LPB and SFIB for analgesia after
THA. The hypothesis is that both blocks would result in similar postoperative opioid
(morphine) consumption at 24 hours and, therefore, designed the study as an equivalence
trial.
n/a
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