Comparison Between the Analgesic Efficacy of Erector Spinae Plane Block and Psoas Compartment Block in Hip Surgery

NCT ID: NCT03904095

Last Updated: 2019-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-01

Study Completion Date

2022-02-01

Brief Summary

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To evaluate the ability of Erector spina Plane block and Psoas compartment block to decrease postoperative pain and analgesia requirements in patients undergoing hip surgery.

Detailed Description

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Erector spina Plane block or Psoas compartment block will performed with guided ultrasound at L4 Transverse process level would lead to adequate postoperative analgesia ,in total hip arthroplasty surgeries.

Conditions

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Hip Arthropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients randomly allocated to three treatment groups: , The psoas compartment block (Group I) the ESP block group (Group II) and the control group (Group III). Blocks performed after general anesthesia induction with the Ultrasound while patients lying on surgical type at the top.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
participant care provider

Study Groups

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Psoas compartment block group (PCB)

Single- shot ultrasound (Esaote Mylab30) guided PCB with 15 ml 0.25% bupivacain ( Marcain 0.5%, Astra zeneca, Turkey) at the L4 vertebral level will performed preoperatively to patients in the PCB group (Group I).

Group Type ACTIVE_COMPARATOR

Psoas Compartment Block Group (GROUP I)

Intervention Type PROCEDURE

Psoas Compartment Block will perform preoperative to all patients in Group I. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

Erector spinae plane block group (ESP)

Single- shot ultrasound (Esaote Mylab30) guided ESP block with 15 ml 0.25% ( Marcain 0.5%, Astra zeneca, Turkey) at the L4 vertebral level will performed preoperatively to patients in the ESP group (Group II).

Group Type ACTIVE_COMPARATOR

Erector Spinae Plane block ( Group II)

Intervention Type PROCEDURE

ESP Block will perform preoperative to all patients in ESP block group. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

The Control group

The Control group receive no intervention ( Group III).

Group Type PLACEBO_COMPARATOR

Control Group (GROUP III)

Intervention Type PROCEDURE

Control group will receive no intervention. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

Interventions

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Psoas Compartment Block Group (GROUP I)

Psoas Compartment Block will perform preoperative to all patients in Group I. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

Intervention Type PROCEDURE

Erector Spinae Plane block ( Group II)

ESP Block will perform preoperative to all patients in ESP block group. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

Intervention Type PROCEDURE

Control Group (GROUP III)

Control group will receive no intervention. Patients in all groups will provide with intravenous patient- controlled analgesia device containing morphine for postoperative analgesia.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

ASA (American Society of Anesthesiologists) I- ASA II Patients

\-

Exclusion Criteria

* history of allergy to the study medication
* refusal to participate
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TC Erciyes University

OTHER

Sponsor Role lead

Responsible Party

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Sibel Seçkin Pehlivan

Teaching Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sibel Pehlivan

Role: STUDY_DIRECTOR

TC Erciyes University

Locations

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Sibel Seçkin Pehlivan

Kayseri, Talas, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Touray ST, de Leeuw MA, Zuurmond WW, Perez RS. Psoas compartment block for lower extremity surgery: a meta-analysis. Br J Anaesth. 2008 Dec;101(6):750-60. doi: 10.1093/bja/aen298. Epub 2008 Oct 22.

Reference Type RESULT
PMID: 18945717 (View on PubMed)

Tsui BCH, Fonseca A, Munshey F, McFadyen G, Caruso TJ. The erector spinae plane (ESP) block: A pooled review of 242 cases. J Clin Anesth. 2019 Mar;53:29-34. doi: 10.1016/j.jclinane.2018.09.036. Epub 2018 Oct 3.

Reference Type RESULT
PMID: 30292068 (View on PubMed)

Tulgar S, Ermis MN, Ozer Z. Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture. Indian J Anaesth. 2018 Oct;62(10):802-805. doi: 10.4103/ija.IJA_230_18.

Reference Type RESULT
PMID: 30443064 (View on PubMed)

Related Links

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Other Identifiers

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2019/98

Identifier Type: -

Identifier Source: org_study_id

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