Comparative Evaluation of Lumbar Plexus and Suprainguinal Fascia Iliaca Compartment Blocks

Study Overview
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Brief Summary
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The investigators aim to compare the use of a suprainguinal fascia iliaca compartment block vs lumbar plexus block as an adjunct to general anesthesia in pediatric patients undergoing orthopedic procedures involving the hip or upper femur. This study will help determine the efficacy of the two techniques and their advantages when compared to each other including time to perform the block, opioid consumption reduction, effects on postoperative pain, and the length of stay.

Official Title
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Comparative Evaluation of Lumbar Plexus and Suprainguinal Fascia Iliaca Compartment Blocks for Pain Management After Orthopedic Surgical Procedures Involving Hip and Femur in Pediatrics.

Conditions
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Orthopedic Disorder

Intervention / Treatment
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* Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA grade I-III Undergoing elective orthopedic surgical procedures involving the hip and upper thigh Exclusion Criteria: Local anesthetic allergy Skin or localized infection at the site of catheter insertion Patient or parent refusal

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 18 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Fascia iliaca compartment block (FICB)<br>FICB is a local anesthetic nerve block, a type of local anesthesia, used for the hip, thigh, and knee. It is performed by inserting the needle into the groin. | Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml<br>* Anesthetic agent used in peripheral nerve block<br>* Other names: Naropin;|
| Active Comparator: Lumbar plexus block (LPB)<br>LPB is a local anesthetic nerve block, a type of local anesthesia, used for the hip, thigh, and knee. It is performed by inserting the needle into the back. | Drug: Ropivacaine Hcl 0.5% Inj Vil 20Ml<br>* Anesthetic agent used in peripheral nerve block<br>* Other names: Naropin;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Time to Perform the Regional Anesthesia Technique | The amount of time if takes to perform either the FICB or LPB. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Opioid Consumption in the PACU | Total number of subjects that required opioids to control pain in the post-anesthesia care unit (PACU). | Immediately to 1 hour post-op | 
| Post-op Pain Scores | Pain scores during the post-operative recovery period. Pain score scale is 0-10 with 0 being no pain and 10 being worst pain imaginable. | 48 hours post-op |