Low Concentration Local Anesthesia Fascia Iliaca Block for Total Hip Arthroplasty

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

Fascia iliaca compartment block (FICB) is a documented option for postoperative analgesia for total hip arthroplasty (THA) surgery. FICB is demonstrated to be effective in terms of analgesia and opioid requirements decrease, however it causes quadriceps motor weakness. Current available motor sparing techniques are not as effective as FICB for analgesia. Low concentration local anesthetics (LCLA) are used with excellent results for pain control with no or minimum motor block effect, in other scenarios (highlighted in obstetric anesthesia) and techniques (epidural anesthesia, for instance). This study proposes that LCLA-FICB can offer the benefit of peripheral nerve blocks mediated analgesia, while at the same time avoiding motor blockade and muscle weakness. The investigators hypothesize that LCLA-FICB, when compared to conventional high concentration local anesthetics (HCLA) FICB, provides similar postoperative analgesia in the first 24 hours following primary THA, while at the same time preserving quadriceps muscle group strength.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 21
Healthy Volunteers: f
View:

• Patients undergoing primary THA in the inpatient setting.

• Non-pregnant patients older than 21 years of age.

• Patients with American Society of Anesthesiologists (ASA) physical status I-IV.

• No alcohol or drug dependency.

Locations
Other Locations
Canada
Mount Sinai Hospital
RECRUITING
Toronto
Contact Information
Primary
Hermann dos Santos Fernandes, MD, PhD
hermannfernandes@yahoo.com.br
416-586-5270
Backup
Yehoshya Gleicher, MD, MSc
josh.gleicher@sinaihealth.ca
416-586-5270
Time Frame
Start Date: 2023-10-23
Estimated Completion Date: 2025-12-30
Participants
Target number of participants: 60
Treatments
Experimental: Low Concentration Local Anesthetic Fascia Iliaca Compartment Block
Patients will be submitted to a Suprainguinal Fascia Iliaca Block with low concentration local anesthetic (Ropivacaine 0.075%)
Active_comparator: High Concentration Local Anesthetic Fascia Iliaca Compartment Block
Patients will be submitted to a Suprainguinal Fascia Iliaca Block with high concentration local anesthetic (Ropivacaine 0.25%)
Related Therapeutic Areas
Sponsors
Leads: University of Toronto

This content was sourced from clinicaltrials.gov

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