Anterior Iliopsoas Muscle Space Block Versus Supra-Iliac Anterior Quadratus Lumborum Block for Analgesia in Total Hip Arthroplasty: A Randomized Controlled Trial

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Approximately 1.66 million hip fractures happen in a year worldwide. About 95% of these fractures happen in individuals older than 60 years. Surgical treatment involving THA is considered the best option for patients with hip fractures and those with degenerative changes in the hip joint, especially in the elderly, however, it is associated with moderate to severe postoperative pain. Pain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility, and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesia techniques is of paramount importance. Moreover, early intervention of rehabilitation aiming at a better postoperative recovery may reduce the length of hospital stay and return to daily. Effective pain management is one of the crucial components of enhanced recovery after surgery (ERAS). Numerous regional anesthetic techniques have been used to provide analgesia following THA, including intrathecal morphine, epidural analgesia, fascia iliaca block, lumber plexus block, sacral plexus block, and local infiltration analgesia, however, each of these techniques has specific limitations that prevent them from being the analgesic technique of choice for THA. Up to investigators' knowledge, there is no study done to compare the supra-iliac approach to the anterior QL block versus the Anterior iliopsoas muscle space block as pre-emptive analgesia in patients undergoing THA under general anesthesia

Eligibility
Participation Requirements
Sex: All
Minimum Age: 50
Maximum Age: 80
Healthy Volunteers: f
View:

• Patient acceptance.

• Age 50-80 years old.

• BMI ≤ 30 kg/m2

• ASA I - III.

• Elective total hip arthroplasty under general anesthesia.

Locations
Other Locations
Egypt
Faculty of medicine, zagazig university
RECRUITING
Zagazig
Contact Information
Primary
Shereen E Abd Ellatif, MD
shosh.again@gmail.com
01007948840
Backup
Naglaa F Abdelhaleem, MD
nogaahmedkareem.fa@gmail.com
01003103036
Time Frame
Start Date: 2022-09-30
Estimated Completion Date: 2025-11-01
Participants
Target number of participants: 72
Treatments
Placebo_comparator: control group
patients will be operated on under general anesthesia
Active_comparator: IPS group
patients will receive an ultrasound-guided anterior iliopsoas muscle space (IPS) block
Active_comparator: Supra-iliac QL group
patients will receive an ultrasound-guided supra-iliac anterior quadratus lumborum (QL) block
Related Therapeutic Areas
Sponsors
Leads: Zagazig University

This content was sourced from clinicaltrials.gov