Pain, Postoperative, Hip Arthroplasty
Conditions
Keywords
Nerve Block, Fascia Iliaca Nerve Block, Complete Motor Sparing Protocol, Hip Arthroplasty, Pain control
Brief summary
Complete motorsparing protocol (CMP) has been developed to try to minimize the motor nerve block that is created when using Facia iliaca nerve block. The blocks performed in the (CMP) are the cluneal nerve block, Pericapsular nerve group block and lateral femoral cutaneous block. On the clinical trial, the investigators will randomize the participants that meet criteria to CMP or Fascia iliaca Block and compare the amount of opioid needed post op during 24 hours and their pain scores.
Interventions
Cluneal nerve Block 0.25% bupivacaine 20ml Pericapsular Nerve group block 0.25% Bupivacaine 20ml Lateral femoral cutaneous Block 0.25% bupivacaine 10ml
Fascia iliaca block suprainguinal technique 0.25% bupivacaine 50ml
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients ≥ 18 years old * Patients undergoing total hip arthroplasty posterior approach. * Patients willing to participate and sign informed consent
Exclusion criteria
* Severe COPD/other contraindication to general anesthesia that spinal would be more suitable. * Patient with a weight of less than 41 kg * Dementia, not alert or Oriented to person, place, or time * Chronic pain patient with daily opioid use at home. * Patient with allergy to local anesthetics * Patient refusal * Total hip arthroplasty revision * Concomitant pain in different area from operative site. * Pregnancy * Patient with active infection on the injection sites for the blocks * Patients unable or willing to understand or comply with the study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of opioid use | 24 hours | Measurement of opioid use (mg) for pain control after surgery once patient in recovery area |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of the pain control | 24 hours | Measurement of the pain control via numeric rating scale 0-10 where 0 is no pain and 10 is the worst pain. |
Countries
United States