Perioperative Analgesia for Total Hip Arthroplasty

Regional Anesthesia Clinical Trial

Official title:

Perioperative Analgesia for Total Hip Arthroplasty: Lumbar Plexus Block Using Shamrock Technique Versus Fascia Iliaca Block

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04670497
• Other study ID #: ANET 8/2018
• Status: Completed
• Phase: N/A
• Start date: July 1, 2018
• Est. completion date: May 1, 2020

Study information

• Verified date: July 2018
• Source: Menoufia University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is comparing the effect of lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics

Description:

Different groups receive different interventions at same time during study. patients were randomly allocated in two groups :

Group A: lumbar plexus block using shamrock technique by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.

Group B: Fascia iliaca block by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: May 1, 2020
• Est. primary completion date: May 1, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 40 Years to 70 Years

Eligibility

Inclusion Criteria:

• ASA physical status I-II and scheduled for elective total hip arthroplasty

Exclusion Criteria:

• Patients who refuse to participate.

• Local infection.

• Patients with coagulation defects

Related Conditions & MeSH terms

• Regional Anesthesia

Intervention

Procedure:
• bupivacaine 0.5% with 1:200000 adrenaline
regional anesthesia to block lumbar plexus for analgesia of lower limb

Locations

Country	Name	City	State
Egypt	Ahmed hashem	Cairo	Assistant Lecturer

Sponsors (1)

Lead Sponsor	Collaborator
Menoufia University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	compare their effects on heart rate (beat\minute)	monitoring of heart rate using pulse oximetry in beat\minute	intraoperative and 24 hours
Other	Complication rate for procedures in the form of local anesthetic toxicity	observation of occurrence of local anesthetic toxicity as hypotension, seizures, bradycardia	Intraoperative monitoring
Primary	Assessment of postoperative analgesia	each patient was assessed by visual analogue scale which consists of a 10 cm line with one end labelled "no pain" and the other end labelled "worst pain imaginable". The patient marks the line at the point that best describes the pain intensity	24 hours
Secondary	Compare effects of both groups on mean arterial blood pressure	monitoring of blood pressure using non invasive blood pressure measurement in millimeter mercury	intraoperative and 24 hours