Lumbar Erector Spinae Plane Block vs Fascia Iliaca Block vs Lumbar Plexus Block for Postoperative Analgesia for Total Hip Arthroplasty

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

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-29

Study Completion Date

2025-02-15

Brief Summary

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This study aims to compare lumbar erector spinae plane block, fascia iliaca block, and lumbar plexus block for postoperative analgesia for hip surgery.

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Detailed Description

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Approximately 500,000 hip arthroplasties are performed each year in the United States. Traditionally, this procedure has been performed under general anesthesia. However, neuraxial and regional anesthesia have become more commonly utilized to aid in postoperative analgesia and reduce the side effects of opioids, namely sedation, nausea, and vomiting. Postoperative pain control has a significant impact on earlier ambulation, initiation of physical therapy, better functional recovery, and overall patient satisfaction.

Lumbar erector spinae plane block (LESPB) was reported to lead to effective postoperative analgesia in hip and proximal femoral surgery.

The fascia iliaca block (FIB) is an established and effective technique, especially when US guidance and proximal approaches are used.

lumbar plexus block (LPB) could be safe because of the targeted somatic nerve block in the psoas region which prevents dispensable sympathetic block even in cardiovascular-compromised patients.

Conditions

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Lumbar Erector Spinae Plane Block Fascia Iliaca Block Lumbar Plexus Block Analgesia Total Hip Arthroplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Lumbar Erector Spinae Plane Block

Patients will receive lumbar erector spinae plane block at the end of surgery.

Group Type EXPERIMENTAL

Lumbar Erector Spinae Plane Block

Intervention Type OTHER

Patients will receive lumbar erector spinae plane block at the end of surgery.

Fascia Iliaca Block

Patients will receive fascia iliaca block at the end of surgery.

Group Type EXPERIMENTAL

Fascia Iliaca Block

Intervention Type OTHER

Patients will receive fascia iliaca block at the end of surgery.

Lumbar Plexus Block

Patients will receive lumbar plexus block at the end of surgery.

Group Type EXPERIMENTAL

Lumbar Plexus Block

Intervention Type OTHER

Patients will receive lumbar plexus block at the end of surgery.

Interventions

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Lumbar Erector Spinae Plane Block

Patients will receive lumbar erector spinae plane block at the end of surgery.

Intervention Type OTHER

Fascia Iliaca Block

Patients will receive fascia iliaca block at the end of surgery.

Intervention Type OTHER

Lumbar Plexus Block

Patients will receive lumbar plexus block at the end of surgery.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years.
* Both sexes.
* American Society of Anesthesiology (ASA) physical status I-III.
* Undergoing total hip arthroplasty under spinal anesthesia.

Exclusion Criteria

* Obesity (Body Mass Index \> 30 kg/m2).
* Allergy to any drug used in the study.
* Contraindications to spinal anesthesia (such as Thrombocytopenia (platelets \<100,000/mCL) and coagulopathy (INR \>1.4 or insufficient time since stopping systemic anticoagulation)).
* Epilepsy.
* Psychiatric disease.
* Pre-existing neurologic deficits or neuropathies.
* Pregnancy.
* Pre-existing alcohol/opioid use disorder.
* Previously diagnosed with chronic pain.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No