THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Fascia Iliaca Block (FIB) and Erector Spinae Plane Block (ESPB) are indirect approaches to the lumbar plexus that resulted to be very promising for THR. However, no studies investigated the analgesic superiority of either FIB or ESPB. In our study the investigators compare FIB and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
64
FIB with ultrasound: Ropivacaine 0.5% 40 ml
ESPB (L4) with ultrasound: Ropivacaine 0.5% 40 ml
bupivacaine 0,5% 2.2 ml
Aast Papa Giovanni Xxiii
Bergamo, Italy
morphine
milligrams of morphine consumed in the first postoperative day
Time frame: 24 hours
perceived postoperative pain: Numeric Rating Scale (NRS)
11 point scale from 0 = "no pain" to 10 = "worst imaginable pain"
Time frame: 24 hs
perceived postoperative pain: Numeric Rating Scale (NRS)
11 point scale from 0 = "no pain" to 10 = "worst imaginable pain"
Time frame: 48 hours
side effects
occurrence of nausea/vomiting, ileum, pruritus and urinary retention in the first 48 hours
Time frame: 48 hours
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