Comparison of Erector Spina Plane Block and Lumbar Plexus Block in Femoral Fracture Surgery

NCT05817916 | Completed

• 1 other identifier: ali eman 002
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to clinical trials compare the lumbar plexus block method with the erector spinae plan block method in terms of analgesic efficacy and possible complications. İn patients for femur fracture surgery. The main questions it aims to answer are: 1. is erector spinae plane block as effective as lumbar plexus block for postoperative analgesia in femur fractures? 2. Is erector spinae plane block effective for reducing opioid consumption compared to lumbar plexus block?

Conditions

Femur Fracture; Erector Spinae; Lumbar Plexus; Ultrasound Guide

Outcome Measures

Primary Outcomes (1)

• Postoperative opioid consumption

  Opioid consumption will be measured in micrograms.

  postoperative 24 hours

Study Arms (2)

ESP Block

ACTIVE COMPARATOR

Procedure: ESP block

LP block

ACTIVE COMPARATOR

Procedure: LP block

Interventions

ESP block PROCEDURE

ESP block: ultrasound guided erector spina plane block

ESP Block

LP block PROCEDURE

LP block: ultrasound guided lumbar plexus block

LP block

Eligibility Criteria

• Age: 45 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Proximal femoral surgery
• All patients who can respond to pain assessment questions

You may not qualify if:

• Regional block contraindications,
• Severe cardiac and respiratory disease,
• Severe coagulopathy,
• Body mass index greater than 35

Sponsors & Collaborators

• Sakarya University: lead

Study Sites (1)

Sakarya University Hospital

Sakarya, Turkey (Türkiye)

Location

Related Publications (2)

• Badiola I, Liu J, Huang S, Kelly JD 4th, Elkassabany N. A comparison of the fascia iliaca block to the lumbar plexus block in providing analgesia following arthroscopic hip surgery: A randomized controlled clinical trial. J Clin Anesth. 2018 Sep;49:26-29. doi: 10.1016/j.jclinane.2018.05.012. Epub 2018 Jun 1.

  PMID: 29860224 RESULT

• Tulgar S, Selvi O, Senturk O, Ermis MN, Cubuk R, Ozer Z. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. J Clin Anesth. 2018 Jun;47:5-6. doi: 10.1016/j.jclinane.2018.02.014. Epub 2018 Mar 6. No abstract available.

  PMID: 29522966 RESULT

MeSH Terms

Conditions

Femoral Fractures

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Leg Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Group 1: The patients in the first group (ESP Group) will be applied ultrasound guided ESP block at the lateral position at the end of the surgery. ESP will be performed with a posterior approach, under ultrasound guidance, by imaging the muscles and the needle. Group 2: At the end of the surgery, patients in the second group (LP Group) will have an appropriate level of LP block with ultrasound guidance and, if necessary, using a neurostimulator.

Study Record Dates

• First Submitted: January 23, 2023
• First Posted: April 18, 2023
• Study Start: April 15, 2023
• Primary Completion: October 15, 2023
• Study Completion: November 15, 2023
• Last Updated: May 8, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)