Clinical trial NCT06839742: Does Adding Posterior Block to SFIB Increase the Quality of Analgesia in Hip Fractures?
Official title: Does the Addition of a Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block Improve Analgesia in Hip Fracture Surgery? A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Acute Pain Management
Hip Surgery
Keywords: acute pain management
hip surgery
Deep posterior gluteal compartment block
Suprainguinal fascia iliaca plane block
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2025-02-21
Enrollment: 68
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.

Detailed description: Adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block applied before neuraxial anesthesia in hip fracture surgeries can reduce the pain sensation originating from the posterior region of the hip joint. Thus, participants can experience less pain in the perioperative period, consume less analgesics and reduce complications related to these in the postoperative period. In addition, possible complications can be prevented with early mobilization of the participants. It was aimed to compare the effects of adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block with only Suprainguinal Fascia Iliaca Block on these results.

Eligibility criteria: Inclusion Criteria:

* Volunteering to participate in the study
* Patients between the ages of 18-90
* ASA I, II, III
* Patients whose surgery duration does not exceed 2 hours
* Patients who will undergo surgery under spinal anesthesia

Exclusion Criteria:

* Patients who do not want to participate in the study/do not give consent
* Patients with a condition that prevents regional anesthesia
* Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device)
* History of hypersensitivity or allergy to local anesthetics
* Patients with psychiatric disorders and those using psychiatric medications
* Presence of hematological disease
* Presence of oncological disease
* Patients with serious major organ failure
* Presence of multiple fractures
* Patients with alcohol or drug addiction
* Patients who have used analgesic drugs up to 12 hours before surgery
* ASA IV-V patients
* Morbidly obese patients

Primary outcomes:
measure: Opioid consumption
timeFrame: 24 hours
Secondary outcomes:
measure: Perioperative pain intensity
timeFrame: 24 hours
measure: Quality of recovery 15 scale
timeFrame: 24 hours after surgery
measure: Quality of patient's position for neuraxial anesthesia
timeFrame: up to ten minutes
measure: Quadriceps weakness
timeFrame: 24th hours
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: Samsun University, Samsun Training and Research Hospital
state: Ilkadım
Study officials:
affiliation: SAMSUN UNİVERSITY
name: HATİCE SELÇUK KUŞDERCİ
role: STUDY_DIRECTOR
References:
citation: Safa B, Trinh H, Lansdown A, McHardy PG, Gollish J, Kiss A, Kaustov L, Choi S. Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial. Br J Anaesth. 2024 Jul;133(1):146-151. doi: 10.1016/j.bja.2024.04.019. Epub 2024 May 18.
citation: Roche JJ, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ. 2005 Dec 10;331(7529):1374. doi: 10.1136/bmj.38643.663843.55. Epub 2005 Nov 18.
citation: Vermeylen K, Van Aken D, Versyck B, Casaer S, Bleys R, Bracke P, Groen G. Deep posterior gluteal compartment block for regional anaesthesia of the posterior hip: a proof-of-concept pilot study. BJA Open. 2023 Feb 15;5:100127. doi: 10.1016/j.bjao.2023.100127. eCollection 2023 Mar.