Perioperative Analgesia for Total Hip Arthroplasty

Menoufia University70 enrolled

Overview

This study is comparing the effect of lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics

Different groups receive different interventions at same time during study. patients were randomly allocated in two groups : Group A: lumbar plexus block using shamrock technique by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline. Group B: Fascia iliaca block by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Regional Anesthesia

Interventions

bupivacaine 0.5% with 1:200000 adrenalinePROCEDURE

regional anesthesia to block lumbar plexus for analgesia of lower limb

Eligibility

Sex: ALLMin age: 40 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * ASA physical status I-II and scheduled for elective total hip arthroplasty Exclusion Criteria: * Patients who refuse to participate. * Local infection. * Patients with coagulation defects

Locations (1)

Ahmed hashem

Cairo, Assistant Lecturer, Egypt

Outcomes

Primary Outcomes

Assessment of postoperative analgesia

each patient was assessed by visual analogue scale which consists of a 10 cm line with one end labelled "no pain" and the other end labelled "worst pain imaginable". The patient marks the line at the point that best describes the pain intensity

Time frame: 24 hours

Secondary Outcomes

Compare effects of both groups on mean arterial blood pressure

monitoring of blood pressure using non invasive blood pressure measurement in millimeter mercury

Time frame: intraoperative and 24 hours

Data from ClinicalTrials.gov

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