None listed
Conditions
Brief summary
A recent audit of quality of recovery following hip replacement at Hollywood Hospital indicated that a proportion of patients experience significant pain in the 1st 24h following surgery. The aim of this study is to evaluate the efficacy a new nerve block termed the erector spinae block in reducing pain in the first 24h following hip replacement . A pilot audit of this nerve block technique in 33 patients at Hollywood found it to be safe and effective in reducing pain without any compromise to patient mobility.
Interventions
Ropivacaine 0.2% 30mls
Delivered by anaesthetist via nerve block injection needle under ultrasound guidance to the transverse process of the 2nd lumbar vertebra - erector spine block
Sponsors
Dr Mark Lennon
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adults, aged > 18 years old, not pregnant 2. Elective unilateral total hip arthroplasty 3. Mentally competent to provide informed own written consent in English
Exclusion criteria
1. Eligible patients who are unable or unwilling to consent 2. Failure of spinal anaesthetic technique 3. Change in planned surgical technique due to for example femoral fracture requiring additional surgical procedures 4. Significant preoperative neuromuscular condition limiting mobility 5. Chronic opioid use > 40mg/d oral morphine equivalent 6. Revision surgery, bilateral surgery 7. Allergy or sensitivity to local anaesthetics
Outcome results
None listed