Severe postoperative pain after posterior total hip arthroplasty (THA)
Conditions
Interventions
Erector Spinae Plane Block Group:Erector Spinae Plane Block at the L4 Level
Fascia Iliaca Compartment Block Group:Suprainguinal Fascia Iliaca Compartment Block
Sponsors
The Affiliated Hospital of Xuzhou Medical University
Eligibility
Sex/Gender
All
Age
45 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1.Age: 45-85 years old; 2.ASA:I-III; 3.Undergoing unilateral total hip replacement (THR) via the posterolateral approach for the following indications: hip osteoarthritis, avascular necrosis of the femoral head, developmental dysplasia of the hip; 4.Providing informed consent.
Exclusion criteria
Exclusion criteria: 1.Long-term use of opioids, a history of preoperative analgesic abuse (> 3 months), or a history of chronic pain other than joint diseases; 2.Presence of contraindications to regional anesthesia (such as coagulation disorders, infection at the puncture site, local anesthetic allergy, etc.); 3.Emergency surgery or revision surgery; 4.Total hip replacement (THR) performed under neuraxial anesthesia; 5.History of local spinal lesions or spinal surgery; 6.Pregnancy/lactation period; 7.Comorbidity of severe cardiac insufficiency (New York Heart Association [NYHA] classification >= Class III), hepatic insufficiency (Child-Pugh classification >= Class C), or renal impairment (serum creatinine > 442 µmol/L or glomerular filtration rate [GFR] < 60 mL/min); 8.Previous history of neurological or psychiatric disorders; 9.Planned postoperative admission to the intensive care unit (ICU); 10.Presence of cognitive impairment, language communication disorders, inability to cooperate with the study procedures, or refusal to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Recovery - 15; | — |
Secondary
| Measure | Time frame |
|---|---|
| The time of the first getting out of bed after surgery.;Manual Muscle Test (MMT) score of the quadriceps;The first pressing time of the postoperative analgesic pump;The time of the first rescue analgesia, the incidence rate of rescue analgesia, and the dosage of drugs used for rescue analgesia.;The occurrence situations of postoperative infection, hematoma, subcutaneous emphysema, shoulder pain, local anesthetic poisoning, etc.;Modified Bromage Score;Postoperative opioid consumption (in morphine equivalents) at 6 hours, 12 hours, 24 hours, and 48 hours;Numerical Rating Scale; | — |
Countries
China
Contacts
Public ContactMengxing Jia
The Affiliated Hospital of Xuzhou Medical University
Outcome results
None listed