Pain
Conditions
Keywords
Postoperative pain management, Total hip arthroplasty, Suprainguinal fascia iliaca block, Anterior QLB
Brief summary
Quadratus lumborum block (QLB) is a facial plane block defined to provide analgesia from T7-L3 dermatomes. There are articles reporting that it is an effective analgesic method in hip surgeries. Suprainguinal fascia iliaca block (SIFIB) also blocks components of the lumbar plexus and provides effective analgesia in hip surgeries. The investigators aim to compare the effectiveness of QLB and SIFIB in patients undergoing primary total hip arthroplasty (THA).
Interventions
Patients in this group will be administered SFIB with 50 mL of local anesthetic solution (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.
PROCEDUREUltrasound Guided Anterior Quadratus Lumborum Block
Patients in this group will be administered anterior QLB with 40 mL of local anesthetic (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.
Sponsors
Samsun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists (ASA) classification I-II-III * Scheduled for total hip artroplasty surgery under spinal anesthesia
Exclusion criteria
* Patients who did not want to participate in the study * Patients with cognitive dysfunction who cannot evaluate the NRS score and cannot use PCA * Known local anesthetics and opioid allergy, * Pregnancy or lactation * Patients with a contraindication to spinal and regional anesthesia * Presence of multiple fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative opioid comsumption | up to 24 hour | Morphine consumptions for both group will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric rating scale for postoperative pain intensity | up to 24 hours | Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. (3-6-12-18-24th hour) NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable). |
| Quality of Recovery (QoR-15) | at 24th hour | The impact of surgical and anesthetic interventions on perioperative quality of life and ability to resume routine life activities will be assessed using the Quality of Recovery (QoR) tool. The QoR-15 scale is a patient-based outcome measure in the form of a 15-item validated questionnaire. |
| Presence of quadriceps motor block (defined as paralysis or paresis). | up to 24 hours | Quadriceps motor function will be tested with the patient supine and with the hip and knee flexed at 45º and 90º, respectively. The subject will be asked to extend the knee first against gravity and then against resistance. Quadriceps strength will be graded according to a 3-point scale: normal strength = 0 point (extension against resistance); paresis = 1 point (extension against gravity but not against resistance); and paralysis = 2 points (no extension). |
Countries
Turkey (Türkiye)
Outcome results
None listed