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/A
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Study Participants

    150
Total 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.
Study Started
Sep 28
2018
Primary Completion
Dec 20
2019
Study Completion
Dec 20
2019
Last Update
Dec 31
2020

Other Opioid and non opioid postoperative analgesia.

Postoperative analgesia will be based on opioid and non opioid analgesics according to standardised protocol.

Other Fascia iliaca compartment block [ropivacaine (naropin), epinephrine (levophed)]

Ultrasound guided suprainguinal fascia iliaca compartment block will be performed using 0.375% ropivacaine and 5ug/ml adrenaline according to standardised protocol.

Drug Dexamethasone

Dexamethasone will be administered preoperatively in a dose of 0,1 mg/kg.

Opioid and non opioid postoperative analgesia. Placebo Comparator

Group of patients with opioid and non opioid based postoperative analgesia without preoperative regional anaesthesia and dexamethasone.

Regional anaesthesia, opioid and non opioid postoperative analgesia. Experimental

Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and without preoperative dexamethasone.

Regional anaesthesia, dexamethasone, opioid and non opioid postoperative analgesia Experimental

Group of patients with opioid and non opioid based postoperative analgesia with preoperative regional anaesthesia and dexamethasone.

Criteria

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
No Results Posted