Anesthesia, Local, Analgesia, Arthropathy of Hip
Conditions
Brief summary
Total hip replacement surgery is one of the most common orthopedic interventions. Proper anaesthesia and adequate analgesia is one of the key interests of attending anaesthetist. Recent studies show that ultrasound guided suprainguinal fascia iliaca compartment block may play a significant role in proper management of pain after these procedures. The aim of this study was to assess the clinical usefulness and compare different methods of anaesthesia for total hip replacement surgery via posterolateral approach.
Interventions
Postoperative analgesia will be based on opioid and non opioid analgesics according to standardised protocol.
Ultrasound guided suprainguinal fascia iliaca compartment block will be performed using 0.375% ropivacaine and 5ug/ml adrenaline according to standardised protocol.
Dexamethasone will be administered preoperatively in a dose of 0,1 mg/kg.
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-75 years old * informed consent to participate in the study * ASA score I-III * BMI -19-30kg/m2 * qualified for total hip replacement * no contraindication to used anesthesia and drugs
Exclusion criteria
* contraindications to spinal anesthesia and regional blocks * previously coexisting chronic pain * previously opioids intake * BMI\>30kg/m2 * allergy to drugs using during study * mental status preventing the usage of patient controlled analgesia pump
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption [mg] | 48 hours | Postoperative opioid consumption was noted. |
| Opioid related adverse effects | 48 hours | Postoperative incidence of nausea, vomiting, constipation and apnea were noted. |
| Hospital stay [days] | 31 days | Total length of hospital stay was noted. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Likert scale | 31 days | Likert scale value was noted at the discharge. Value of 1 corresponded with strong dissatisfaction, value of 2 with dissatisfaction, value of 3 with neither satisfaction nor dissatisfaction, value of 4 with satisfaction, value of 5 with strong satisfaction. |
Countries
Poland