PRCT of FICB vs LAI for Hip Arthroscopy

Study Overview
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Brief Summary
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A prospective randomised controlled trial involving patients undergoing hip arthroscopy. Participants were randomised to receiving either Fascia Iliaca Compartment Block (FICB) or Local Anaesthetic Infiltration (LAI) of the portal tracts with local anaesthetic. Supplemental analgesia was also used in both groups on an on-demand basis. Pain level is assessed at 1,3,6, and 24 hours post surgery. The primary outcome measure was the post-operative level of pain as assessed by Numeric Pain Score 6 hours after surgery. Secondary outcome measures were the frequency and the dose of morphine and other medications consumed at 1 and 24 hours after surgery as well as any other adverse events relating to pain or medications used for pain relief in both the groups.

Official Title
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Fascia Iliaca Compartment Block and Local Anaesthetic Infiltration for Pain Control Following Hip Arthroscopic Surgery

Conditions
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Femoroacetabular Impingement

Intervention / Treatment
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* Procedure: Fascia Iliaca Compartment Block (FICB)
* Procedure: Local Anaesthetic Infiltration (LAI)
* Drug: Levobupivacaine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over the age of 18 years Primary elective hip arthroscopy on a native hip for combined soft tissue injuries and FAI pathology Able to read, write and communicate in English Exclusion Criteria: Patients who did not want to be involved in the Trial Unable to give informed consent Previous hip surgery Patients younger than 18 years of age Chronic opioids users Patients known to have an allergy or intolerance to local anaesthetic agents or none steroidal anti-inflammatory medications

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Procedure - FICB<br>Fascia Iliaca Block following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml | Procedure: Fascia Iliaca Compartment Block (FICB)<br>* Fascia Iliaca Compartment Block<br>Drug: Levobupivacaine<br>* Levobupivacaine 0.125% - 40ml<br>|
| Active Comparator: Procedure - LAI<br>Local Anaesthetic Infiltration following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml | Procedure: Local Anaesthetic Infiltration (LAI)<br>* Local Anaesthetic Infiltration (LAI) of the portal tracts<br>Drug: Levobupivacaine<br>* Levobupivacaine 0.125% - 40ml<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of pain as assessed by Numeric Pain Score |  | 6 hours after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of morphine consumed |  | 1 and 24 hours after surgery | 
| Total dose of morphine consumed |  | 1 and 24 hours after surgery | 
| Total dose of codeine consumed |  | 1 and 24 hours after surgery | 
| Nausea and Vomiting |  | 1 and 24 hours after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fascia Iliaca Block, Local Anaesthetic Infiltration, Hip Arthroscopy