Comparison of Fascial Iliac Compartment Block and Quadratus Lumborum Block for Hip Surgery

Study Overview
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Brief Summary
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Iliac fascia block has a long history of analgesia in patients with hip fractures. A large number of clinical studies have confirmed its efficacy, and there are also randomized controlled studies supporting its effectiveness in analgesia after total hip replacement surgery.Quadratus lumborum block is a new block technique developed in last decade, and there are also a few randomized controlled studies supporting its effectiveness in postoperative analgesia for total hip replacement.The purpose of the present study was to find out whether these two different approaches of fascial compartment block have similar effects on postoperative analgesia after total hip replacement.

Official Title
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Transmuscular Quadratus Lumborum Block Versus Supra-inguinal Fascial Iliac Compartment Block for Total Hip Arthroplasty: a Randomized, Prospective Study

Conditions
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Analgesia

Intervention / Treatment
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* Procedure: Fascial iliac compartment block
* Procedure: Quadratus lumborum block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA class 1-3 BMI between 20-36kg/m^2 Scheduled to undergo total hip replacement Exclusion Criteria: A history of chronic opioids or steroid consumption Coagulapathy or anticoagulation Pregnancy Allergic to local anesthetics Neurological dysfunction

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Fascial iliac compartment block group<br>Patients in this group will recieve supra-inguinal fascial iliac compartment block after anesthesia induction. | Procedure: Fascial iliac compartment block<br>* Patients will recieve supra-inguinal approach of fascial iliac compartment block under ultrasound guidance with 30 ml of 0.5 percent ropivacaine.<br>|
| Active Comparator: Quadratus lumborum block group<br>Patients in this group will recieve quadratus lumborum block after anesthesia induction. | Procedure: Quadratus lumborum block<br>* Patients will recieve transmuscular approach of quadratus lumborum block under ultrasound guidance with 30 ml of 0.5 percent ropivacaine.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cumulative opioids consumption at 24 hours | Cumulative consumption of sufentanil from PCA device at 24 hours after surgery | Within 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NRS score with movement at 6,12,and 24 hours | Patients' NRS score with movement at 6,12,and 24 hours after surgery | at 6,12,and 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ultrasound, Total hip arthroplasty, Nerve block