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Completed

NCT Number: NCT04574479

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

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

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Key information

Conditions

Arthropathy of Hip

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

CHU de Liège

Liège, 4000, Belgium

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Supra-inguinal fascia iliaca compartment block

Procedure

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

Multimodal analgesia and PCA morphine pump

Drug

Patients in placebo group have classical multimodal approach to postoperative analgesia with morphine administration by PCA pump

Primary outcomes

  1. Opioid sparing

    Time frame: 48 hours after the intervention

    Difference in cumulated morphine consumption in the first 48 hours after surgery

Secondary outcomes

  1. Opioid secondaries effects

    Time frame: 48 hours after the intervention

    incidence of secondary effects related to morphine consumption

  2. Pain management satisfaction: questionnaire

    Time frame: 48 hours after the intervention

    pain management satisfaction score by IPO (International Pain Outcomes) questionnaire

Sponsors and collaborators

Lead sponsor

University of Liege

Other

Registry information

Official study title

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

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Oct 5, 2020
Registry last updated
May 17, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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