Title
The Efficacy of Suprainguinal Fascia Iliaca Compartment Block for Analgesia After Elective Total Hip Replacement.
The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach
Phase
N/ALead Sponsor
Saint Lucas Hospital, PolandStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Anesthesia, Local Analgesia Arthropathy of HipIntervention/Treatment
Fascia iliaca compartment block [ropivacaine (61467), epinephrine (64528)] Dexamethasone ...Study Participants
150Total hip replacement surgery is one of the most common orthopedic interventions. Proper anaesthesia and adequate analgesia is one of the key interests of attending anaesthetist. Recent studies show that ultrasound guided suprainguinal fascia iliaca compartment block may play a significant role in proper management of pain after these procedures. The aim of this study was to assess the clinical usefulness and compare different methods of anaesthesia for total hip replacement surgery via posterolateral approach.
Postoperative analgesia will be based on opioid and non opioid analgesics according to standardised protocol.
Ultrasound guided suprainguinal fascia iliaca compartment block will be performed using 0.375% ropivacaine and 5ug/ml adrenaline according to standardised protocol.
Dexamethasone will be administered preoperatively in a dose of 0,1 mg/kg.
Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.
Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.
Inclusion Criteria: age 18-75 years old informed consent to participate in the study ASA score I-III BMI -19-30kg/m2 qualified for total hip replacement no contraindication to used anesthesia and drugs Exclusion Criteria: contraindications to spinal anesthesia and regional blocks previously coexisting chronic pain previously opioids intake BMI>30kg/m2 allergy to drugs using during study mental status preventing the usage of patient controlled analgesia pump