Comparison of Analgesic Efficacy of Quadratus Lumborum Type 3 and Suprainguinal Fascia Iliaca Compartment Block in Total Hip Arthroplasty Surgery

NCT06838156 | Completed

• 1 other identifier: GK-QLB-SIFI
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Total Hip Arthroplasty (THA) is a complex surgical procedure frequently performed to treat degenerative conditions in the hip joint. As people's life expectancy increases, the need for hip arthroplasty increases. İnvestigetors aimed to compare the analgesic properties of SIFI and QLB blocks.

Conditions

Opioid Consumption; Pain Postoperative

Outcome Measures

Primary Outcomes (1)

• Effect on pain score

  Postoperative 24-hour Visual Analog Scale was measured. ( 0=best 10=worst)

  At 1,2,4, 6, 12 and 24 hours after surgery

Secondary Outcomes (1)

• Opioid Consumption

  At 1,2,4, 6, 12 and 24 hours after surgery

Study Arms (2)

SIFI Group

ACTIVE COMPARATOR

Group of 30 patients who underwent SIFI block

Drug: Bupivacain

QLB Type 3

ACTIVE COMPARATOR

Group of 30 patients who underwent QLB block

Drug: Bupivacain

Interventions

Bupivacain DRUG

Suprainguinal Fascia Iliaca Compartment block was performed with a linear probe placed over the inguinal ligament using a portable ultrasound device. After visualization of the femoral nerve, 30 ml of 0.25% bupivacaine was injected into the fascia iliaca overlying the iliopsoas muscle using an appropriate needle.

Also known as: SIFI

SIFI Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Elective patients scheduled for hip arthroplasty surgery
• Patient willingness to participate in the study
• Patients over 18 years age of, ASA I-II-III,

You may not qualify if:

• Patients not wanting to participate in the study
• Patients who do not want regional anesthesia technique
• Allergic or coagulated patients
• Patients with liver, kidney, lung, heart failure and septic patients
• Neurological disorder, history of convulsions
• ASA IV patients

Sponsors & Collaborators

• Başakşehir Çam & Sakura City Hospital: lead

Study Sites (1)

Başakşehir Çam Ve Sakura City Hospital

Başakşehir, Istanbul, Turkey (Türkiye)

Location

Related Publications (2)

• Safa B, Trinh H, Lansdown A, McHardy PG, Gollish J, Kiss A, Kaustov L, Choi S. Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial. Br J Anaesth. 2024 Jul;133(1):146-151. doi: 10.1016/j.bja.2024.04.019. Epub 2024 May 18.

  PMID: 38762396 BACKGROUND

• Xia Q, Ding W, Lin C, Xia J, Xu Y, Jia M. Postoperative pain treatment with transmuscular quadratus lumborum block and fascia iliaca compartment block in patients undergoing total hip arthroplasty: a randomized controlled trial. BMC Anesthesiol. 2021 Jul 10;21(1):188. doi: 10.1186/s12871-021-01413-7.

  PMID: 34243719 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative

Interventions

Bupivacaine

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Anilides; Amides; Organic Chemicals; Aniline Compounds; Amines

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor Doctor

Study Record Dates

• First Submitted: February 9, 2025
• First Posted: February 20, 2025
• Study Start: February 15, 2023
• Primary Completion: June 15, 2023
• Study Completion: August 1, 2023
• Last Updated: February 20, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)