Analgesic Effect of the QLB-3 for Patients Undergoing a Total Hip Surgery

NCT ID: NCT04555291

Last Updated: 2024-03-18

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-05

Study Completion Date

2024-10-06

Brief Summary

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Total hip arthroplasty (THA) is one of the main elective orthopedic surgery. Recent studies have proven that patients undergoing an elective THA who are part of a fast track surgery program including an opioid free anesthesia (OFA) presented a decrease of mortality and a reduced in-hospital length of stay. Based on the anatomical knowledges, the Quadratus Lumborum Block seems to be an interesting locoregional technique for patients undergoing THA. So far, there is no recommanded locoregional aesthesia in this indication. The investigators hypothezised that QLB would give an efficient analgesia in the 24h following a THA.

Therefor, the study performed a prospective, randomized, double blind trial in the Nice Universitary hospital of Pasteur 2 and in Arnault Tzanck Institute among all patients who underwent THA, comparing a QLB using ropivacaïne 2mg/ml 20ml vs isotonic saline solution 20 ml.The main end-point is the decrease opiod consumption in the 24h following THA.

Detailed Description

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Conditions

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Total Hip Arthroplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Drug Ropivacaïne 2 mg/ml

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of ropivacaïne 2 mg/ml

Group Type EXPERIMENTAL

Ropivacaine injection

Intervention Type DRUG

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of ropivacaïne 2 mg/ml

NACL

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of NACL

Group Type PLACEBO_COMPARATOR

NACL

Intervention Type OTHER

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of NACL

Interventions

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Ropivacaine injection

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of ropivacaïne 2 mg/ml

Intervention Type DRUG

NACL

Realization of the quadratum lumborum block type 3, ultrasounds' guided by the injection of 20 ml of NACL

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Obligation for all patients to be affiliated with social security
* Patient Informed Consent Signature

Exclusion Criteria

* chronic opiod consumption
* pregnancy
* mental disorder that prevents the usage of the numeric analog scale
* Contra indications of the realization of QLB

* Local infection
* Allergic to the local anesthesia
* Hemostasis disorder
* Incapacity of giving the consent : individuals under guardianship by court order, or under judicial protection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rozier Romain

Role: PRINCIPAL_INVESTIGATOR

Anesthésie Réanimation - CHU de Nice

Locations

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CHU de nice - Anesthésie Réanimation

Nice, Alpes-Maritimes, France

Site Status

Institut Arnaut Tzanck

Nice, Alpes-Maritimes, France

Site Status

Countries

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France

References

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Rozier R, Loiseleur A, Ciais C, Moulin O, Alais B, Marguerite K, Badia E, Tran L, Balbo J, Maurice-Szamburski A. Anterior quadratus lumborum block in total hip arthroplasty: a two-center, randomized, placebo-controlled trial showing no additional benefit over multimodal analgesia. Reg Anesth Pain Med. 2025 Feb 10:rapm-2024-106247. doi: 10.1136/rapm-2024-106247. Online ahead of print.

Reference Type DERIVED
PMID: 39929638 (View on PubMed)

Other Identifiers

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19-PP-13

Identifier Type: -

Identifier Source: org_study_id

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