Comparing Suprainguinal Fascia Iliaca Block With Erector Spinae Plane Block in Hip and Proximal Femur Surgery

Study Overview
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Brief Summary
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Most hip fractures occur in the elderly population. Opioid-related respiratory depression is more common in the elderly population but can cause severe brain damage or death. Reducing the amount of opioids administered before, during and after surgery by adding a regional block may increase the postoperative quality of recovery, reduce chronic pain syndromes, and may potentially facilitate the participation of patients in rehabilitation. Despite their potential advantages, peripheral nerve blocks are still not widely used in people with hip fractures. The primary objective of this study is to compare patients' postoperative pain scores and opioid consumption.

Official Title
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Comparing Ultrasound-Guided Suprainguinal Fascia Iliaca Block With Lumbar Erector Spinae Plane Block in Hip and Proximal Femur Fracture Surgery

Conditions
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Postoperative Pain, Femur Fracture, Regional Anesthesia

Intervention / Treatment
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* Procedure: Regional Block Comparison


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over 18 years old, undergoing hip fracture surgery Exclusion Criteria: Patients with solid organ dysfunction, chronic opioid or corticosteroid use, bleeding diathesis, patients receiving inpatient medication, patients with psychiatric disorders and patients who cannot be contacted after surgery.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Suprainguinal Fascia Iliaca Block and Spinal Anesthesia Group<br> | Procedure: Regional Block Comparison<br>* Comparing postoperative pain and opioid consumption in groups<br>|
| Erector Spinae Plane Block and Spinal Anesthesia Group<br> | Procedure: Regional Block Comparison<br>* Comparing postoperative pain and opioid consumption in groups<br>|
| Spinal Anesthesia Group (control)<br> | Procedure: Regional Block Comparison<br>* Comparing postoperative pain and opioid consumption in groups<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative Pain Scores | Comparing pain scores with Numeric Rating Scale (NRS) | 48 hours | 
| Opioid Consumption | Comparing opioid consumption via Patient Controlled Analgesia (PCA) device | 48 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction | patient satisfaction score: 0: unsatisfied 5: fully satisfied | 48 hours | 
| Complications Related to Pain Management | complications such as hypothension, nausea, vomiting, itching | 48 hours | 
| Time of Mobilisation | time frame between the surgery to first mobilization (walking) | 7 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postoperative Pain, Lumbar Erector Spinae Plane Block, Fascia Iliaca Block