Comparison of PENG Associated with LFCN Block Versus FICB for Multimodal Analgesic Management in THA
NCT ID: NCT06147401
Last Updated: 2024-12-18
Study Results
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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COMPLETED
NA
58 participants
INTERVENTIONAL
2023-11-20
2024-06-01
Brief Summary
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Detailed Description
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Each patient undergoing elective total hip replacement surgery with anterior approach will be subjected (unless contraindicated) to subarachnoid neuraxial anesthesia and immediately afterwards to a peripheral analgesic block: the FIC block or the association of PENG and FCLN block. The choice of block type will be randomized.
At the end of the procedure, a clinician unaware of the anesthetic technique used will assess the degree of residual motor block. Simultaneously, he will assess pain control in terms of NRS (Numerical Rating Scale) and the need for opioid use.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Participant: the patient will not know the type of block he will be subjected to, because of he will already be subjected to neuraxial anesthesia.
Outcomes Assessor: a clinician external to the practice will evaluate the degree of residual paralysis after anesthesia and pain control Investigator: the statistician will not know which anesthetic technique was administered to which group
Study Groups
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PENG - LFCN Block
group in which PENG and LFCN Block was performed. After performing neuraxial anesthesia, the PENG associated with LFCN block will be performed. Under ultrasound guidance, 20ml and 5ml of Ropivacaine 0.5% will be administered respectively.
PENG plus LFCN block
The experimental arm will be subjected to a combination of peripheral blocks: the interfascial block of the PENG and the perinervous block of the LFCN
The PENG block involves deposition of local anesthetic in the fascial plane between the psoas muscle and the superior pubic ramus.
The LFCN block consists of applying local anesthetic near the nerve. The LFCN lies in the subcutaneous plane deep to the fascia lata below the anterior superior ischiatic spine.
FIC Block
group in which FIC Block was performed After performing neuraxial anesthesia, FIC block will be performed. Under ultrasound guidance, 20 ml of Ropivacaine 0.5% will be administered.
FIC Block
The control arm will be subjected to an interfascial block, the fascia iliaca Compartment Block.
The FICB consists in the injection of anaesthetic agents into the fascia iliaca compartment.
Interventions
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PENG plus LFCN block
The experimental arm will be subjected to a combination of peripheral blocks: the interfascial block of the PENG and the perinervous block of the LFCN
The PENG block involves deposition of local anesthetic in the fascial plane between the psoas muscle and the superior pubic ramus.
The LFCN block consists of applying local anesthetic near the nerve. The LFCN lies in the subcutaneous plane deep to the fascia lata below the anterior superior ischiatic spine.
FIC Block
The control arm will be subjected to an interfascial block, the fascia iliaca Compartment Block.
The FICB consists in the injection of anaesthetic agents into the fascia iliaca compartment.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* THA (total hip arthroplasty) with lateral approach
* age \>18 years,
* signed consent form for spinal anesthesia and peripheral nerve block provided by the patient or legal guardian if appointed
Exclusion Criteria
* Lack of consent to the procedure
* Contraindications to performing neuraxial anesthesia (i.e. Signs suggestive of puncture site infection, INR \> 1.5, aPTT \> 1.5, PLT \< 40.000)
* Documented or suspected allergy to local anesthetics
18 Years
ALL
No
Sponsors
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Ospedale Edoardo Bassini
OTHER
Responsible Party
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Francesco Vetrone, MD
Principal Investigator
Locations
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Ospedale Edoardo Bassini
Cinisello Balsamo, Milano, Italy
Countries
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Other Identifiers
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3703
Identifier Type: -
Identifier Source: org_study_id