EFFECT OF SACRAL ERECTOR SPINA PLAN BLOCK ON TOTAL HIP ARTHROPLASTY

NCT06221319 | Completed

• 1 other identifier: total hıp arthroplasty
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Total hip arthroplasty (THA) is a surgery that relieves hip joint pain and improves its functions and is widely performed in the elderly population. New analgesic methods need to be developed to protect these patients from the pain and side effects of opioids used for treatment. Many scales are available to indicate postoperative patient recovery. One of these is the quality of recovery-15 (QoR-15) recovery test, which was first applied by Stark et al. in 2013. We think that an ESPB applied from the sacral region will spread to the lumbar region by diffusion, affect the lumbar plexus, and provide complete analgesia in the ventral and dorsal regions of the hip by affecting the sacral plexus in the sacral region. The investigator's primary aim in this study is to evaluate the effect of sacral erector spinae plane block (S-ESPB) on the quality of recovery and healing after TKA through the QoR-15 score and to evaluate its effect on postoperative pain.

Conditions

Postoperative Pain

Keywords

pain; interfascial plan block.

Outcome Measures

Primary Outcomes (1)

• Quality of recovery-15T

  The primary evaluation criteria will be the recording of QoR -15 scores, which indicate the quality of recovery of patients before and at 24 hours after surgery .

  One day

Study Arms (2)

control group

NO INTERVENTION

Group K IV to patients paracetamol 1 gr. It will be administered 3x1 + Dexketoprofen 50 mg 2x1. All patients will be administered 1mg/kg tramadol as rescue analgesic when NRS is 3 and above . 4mg IV to all patients with nausea and vomiting Ondansetron will be administered.

Sacral erektör spinae plane group

ACTIVE COMPARATOR

sacral erector spinae plane will be applied to patients in Group S

Other: sacral erectör spinae plane group

Interventions

sacral erectör spinae plane group OTHER

sacral erectör spinae plane will be applied to patients in Group S

Sacral erektör spinae plane group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who will undergo unilateral THA
• Spinal anesthesia
• year-old patients
• Patients with ASA I-IV
• Patients who will stay in the hospital for at least 24 hours

You may not qualify if:

• Patients who do not want to give consent
• Patients under 18 years of age and over 80 years of age
• Patients for whom regional anesthesia is contraindicated
• Patients with confusion
• Patients with ASA V and above
• Patients with abnormal bleeding profile
• Patients using anticoagulants
• Patients with infection in the area to be treated
• Emergency cases

Sponsors & Collaborators

• Konya City Hospital: lead

Study Sites (1)

Konya City Hospital

Konya, 42020, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative; Pain

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist, the member of the Department of Anesthesiology, Konya City Hospital, M.D

Study Record Dates

• First Submitted: December 11, 2023
• First Posted: January 24, 2024
• Study Start: January 24, 2024
• Primary Completion: April 15, 2024
• Study Completion: April 15, 2024
• Last Updated: April 16, 2024

Record last verified: 2024-04

Locations

TU (1)