The Efficacy of Pain Control After Total Hip Replacement Between Ultrasound Guided Supra-inguinal Fascia Iliaca Block and Intrathecal Morphine

Last updated: February 25, 2020
Sponsor: Mahidol University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Acute Pain

Post-surgical Pain

Pain

Treatment

N/A

Clinical Study ID

NCT04104204
Si 404/2019
  • Ages 18-80
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Total hip replacement is one of major orthopedic surgery which result in severe postoperative pain especially at first 24 hours. Ultrasound guided regional anesthesia has become a part of multimodal analgesia.Ultrasound guided supra-inguinal fascia iliaca block is a new technique which can consistently cover femoral and lateral femoral cutaneous nerve. And with large volume (40ml), it may cover obturator nerve. This technique already proved to be useful for acute pain control in hip fracture or postoperative control in dynamic hip screw or nail insertion operation. However, it has not been compared with intrathecal morphine for total hip replacement yet.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • elective surgery of primary total hip replacement, body weight ≥40kg and BMI ≤35kg/m2, competence to consent

Exclusion

Exclusion Criteria:

  • contraindication to regional anesthesia, allergy to study drugs, skin infection atsupra-inguinal fascia iliaca injection point, neurological deficit affecting the lowerextremities, inability to use patient-controlled analgesia, GFR <50 mL/min

Study Design

Total Participants: 98
Study Start date:
December 03, 2019
Estimated Completion Date:
December 31, 2021

Study Description

By using combine ultrasound guided supra-inguinal fascia iliaca block with periarticular infiltration with mutimodal analgesic drugs will have longer duration time to first rescue analgesic drug compared with combine intrathecal morphine with periarticular infiltration with multimodal analgesic drugs.

Connect with a study center

  • Siriraj hospital

    Bangkok, 10700
    Thailand

    Active - Recruiting

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