Combined suprainguinal fascia iliaca compartment block (S-FICB) with intraarticular bupivacaine (IA) in patients undergoing elective primary total hip arthroplasty under spinal anesthesia. Combined suprainguinal fascia iliaca compartment block (S-FICB) with intraarticular bupivacaine (IA) elective primary total hip arthroplasty spinal anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients undergoing total hip arthroplasty
Exclusion criteria
Exclusion criteria: 1.contraindication to local anesthetic or study drugs 2.patients with chronic pain or chronic use of opioids (more than 2 weeks within 1-month) 3.local skin infection at the injection site 4.body mass index > 40 kg/ m2 5.history of renal impairment (CrCl < 30 mg/ml) 6. coagulopathy (platelets < 100,000/mL or INR > 1.4) 7. patients who are unable to assess pain score or unable to operate intravenous patient controlled analgesia (IV-PCA) 8. patients who have contraindications to spinal anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative 24-hour morphine consumption 24 hr milligram of morphine consumption | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score at rest and on movement 0,6,12,24,48 Numerical rating scale, NRS 0-11,Time to first morphine requirement within 48 hours questionnaire interview,Incidence of nausea and vomitting within 48 hours questionnaire interview, medical record,Block related complications within 48 hours questionnaire interview, medical record,Patient satisfaction on overall postoperative pain management within 48 hours questionnaire interview,Length of hospital stay Days to weeks Medical record | — |
Countries
Thailand
Contacts
Faculty of Medicine Ramathibodi Hospital