osteoarthritis of hip patients undergoing total hip arthroplasty osteoarthritis of hip, total hip arthroplasty
Conditions
Interventions
before start operation, the ultrasound-guided suprainguinal fascia iliaca block was done by 30 mL of 0.33% bupivacaine with epinephrine (1:200,000), and the ultrasound-guided transversalis fascia plan
SFIB group,PENG group
Sponsors
Chulalongkorn University research and innovation for society
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: osteoarthritis of hip patients undergoing total hip arthroplasty (American Society of Anesthesiologists class 1-3) with BMI 18-40 kg/m2
Exclusion criteria
Exclusion criteria: 1. deny to participate 2. Patients without ability to assess outcome eg. Dementia, Parkinson disease 3. History of allergy any drugs used in this study 4. Patients at risks of local anesthetic drug toxicity ( BMI<18, chronic liver disease, albumin level < 2.8 gm/dl) 5. Patients with contraindication of NSAIDs use 6. Chronic opioid use patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative fentanyl consumption 24 hours Fentanyl consumption in PCA | — |
Secondary
| Measure | Time frame |
|---|---|
| pain score of anterior hip at rest and during movement preoperative, PACU,6,12,24,48 hours numerical rating scale,perioperative intravenous fentanyl consumption intraoperative, PACU, 6, 24, 48 h postoperative fentanyl consumption in PCA,pain score of posterior hip at rest and during movement preoperative, PACU, 6, 12, 24, 48 h postoperative numerical rating scale ,pain score at surgical incision preoperative, PACU, 6, 12, 24, 48 h postoperative numerical rating scale,demand and delivery ratio of PCA fentanyl 6, 24, 48 h postoperative patient controlled analgesia machine,the comprehensive Silverman integrated approach (C-SIA) score 6, 24, 48 h postoperative patient controlled analgesia,the duration and incidence of loss of cutaneous sensory perception in the hip region until not different from inoperative hip cold and touch sensation,pain score of all hip at rest and during movement preoperative, PACU, 6, 12, 24, 48 h postoperative numerical rating scale,Time-up and go test preoperative, 48 h postoperative blinded assessor ,Quadriceps muscle strength test 0 and 90 degree preoperative, 12 and 24 h postoperative Hand held dynamometer,Length of stay the time from surgery until complete discharge criteria time,patient satisfaction before discharge numerical rating scale,nausea/vomiting 6, 12, 24, 48 h postoperative numerical rating scale,dizziness 6, 12, 24, 48 h postoperative numerical rating scale ,sleep disturbance 6, 12, 24, 48 h postoperative yes/no | — |
Countries
Thailand
Contacts
Public ContactChutikant Vichhainarong
King Chulalongkorn Memorial Hospital
Outcome results
None listed