Clinical trial NCT05684471: SFIB vs Anterior QLB in Total Hip Arthroplasty
Official title: Comparison of the Efficiency of Ultrasound-Guided Suprainguinal Fascia Iliaca Block and Anterior Quadratus Lumborum Block in Patients Undergoing Total Hip Arthroplasty Under Spinal Anesthesia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain
Keywords: Postoperative pain management
Total hip arthroplasty
Suprainguinal fascia iliaca block
Anterior QLB
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2023-01-13
Enrollment: 65
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Quadratus lumborum block (QLB) is a facial plane block defined to provide analgesia from T7-L3 dermatomes. There are articles reporting that it is an effective analgesic method in hip surgeries. Suprainguinal fascia iliaca block (SIFIB) also blocks components of the lumbar plexus and provides effective analgesia in hip surgeries. The investigators aim to compare the effectiveness of QLB and SIFIB in patients undergoing primary total hip arthroplasty (THA).


Eligibility criteria: Inclusion Criteria:

* American Society of Anesthesiologists (ASA) classification I-II-III
* Scheduled for total hip artroplasty surgery under spinal anesthesia

Exclusion Criteria:

* Patients who did not want to participate in the study
* Patients with cognitive dysfunction who cannot evaluate the NRS score and cannot use PCA
* Known local anesthetics and opioid allergy,
* Pregnancy or lactation
* Patients with a contraindication to spinal and regional anesthesia
* Presence of multiple fractures

Primary outcomes:
measure: Cumulative opioid comsumption
timeFrame: up to 24 hour
Secondary outcomes:
measure: Numeric rating scale for postoperative pain intensity
timeFrame: up to 24 hours
measure: Quality of Recovery (QoR-15)
timeFrame: at 24th hour
measure: Presence of quadriceps motor block (defined as paralysis or paresis).
timeFrame: up to 24 hours
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: Samsun University
Study officials:
affiliation: Samsun Üniversitesi tıp fakültesi, Samsun Eğitim ve Araştırma Hastanesi
name: Serkan Tulgar
role: PRINCIPAL_INVESTIGATOR
References:
citation: James M, Bentley RA, Womack J, Goodman BA. Safety profile and outcome after ultrasound-guided suprainguinal fascia iliaca catheters for hip fracture: a single-centre propensity-matched historical cohort study. Can J Anaesth. 2022 Sep;69(9):1139-1150. doi: 10.1007/s12630-022-02279-0. Epub 2022 Jul 12.
citation: Wang Q, Hu J, Zhang W, Zeng Y, Yang J, Kang P. Comparison Between Ultrasound-Guided Suprainguinal Fascia Iliaca Block and Anterior Quadratus Lumborum Block for Total Hip Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial. J Arthroplasty. 2022 Apr;37(4):763-769. doi: 10.1016/j.arth.2022.01.011. Epub 2022 Jan 11.
citation: Shamim R, Prasad G, Bais PS, Priya V, Singh TK, Ambasta S, Philips AK. Ultrasound-Guided Suprainguinal Fascia Iliaca Compartment Block for Postoperative Analgesia in Patients Undergoing Hip and Femur Surgeries: A Retrospective Analysis. Anesth Essays Res. 2020 Jul-Sep;14(3):525-530. doi: 10.4103/aer.AER_9_21. Epub 2021 Mar 22.