Does Adding Posterior Block to SFIB Increase the Quality of Analgesia in Hip Fractures?

NCT06839742 | Completed

• 1 other identifier: OMUKAEAK 2024/276
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.

Conditions

Hip Surgery; Acute Pain Management

Keywords

acute pain management; hip surgery; Deep posterior gluteal compartment block; Suprainguinal fascia iliaca plane block

Outcome Measures

Primary Outcomes (1)

• Opioid consumption

  In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.

  24 hours

Secondary Outcomes (4)

• Perioperative pain intensity

  24 hours

• Quality of recovery 15 scale

  24 hours after surgery

• Quality of patient's position for neuraxial anesthesia

  up to ten minutes

• Quadriceps weakness

  24th hours

Study Arms (2)

Group SFICB

ACTIVE COMPARATOR

Suprainguinal fascia iliaca plane block will be performed 30 minutes before hip surgery

Other: Suprainguinal fascia iliaca compartment block

Group Combined

ACTIVE COMPARATOR

Suprainguinal Fascia İliaca plane Block will be performed 30 minutes before hip surgery and Deep Posterior Gluteal Compartment Block will be performed 20 minutes before hip surgery

Other: Deep Posterior Gluteal Compartment Block; Other: Suprainguinal fascia iliaca compartment block

Interventions

Suprainguinal fascia iliaca compartment block OTHER

Suprainguinal fascia iliaca compartment block will be performed under USG guidance before neuraxial anesthesia.

Group Combined; Group SFICB

Deep Posterior Gluteal Compartment Block OTHER

Deep Posterior Gluteal Compartment Block will be performed under USG guidance before neuraxial anesthesia.

Group Combined

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteering to participate in the study
• Patients between the ages of 18-90
• ASA I, II, III
• Patients whose surgery duration does not exceed 2 hours
• Patients who will undergo surgery under spinal anesthesia

You may not qualify if:

• Patients who do not want to participate in the study/do not give consent
• Patients with a condition that prevents regional anesthesia
• Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device)
• History of hypersensitivity or allergy to local anesthetics
• Patients with psychiatric disorders and those using psychiatric medications
• Presence of hematological disease
• Presence of oncological disease
• Patients with serious major organ failure
• Presence of multiple fractures
• Patients with alcohol or drug addiction
• Patients who have used analgesic drugs up to 12 hours before surgery
• ASA IV-V patients
• Morbidly obese patients

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun University, Samsun Training and Research Hospital

Samsun, Ilkadım, Turkey (Türkiye)

Location

Related Publications (3)

• 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

• Roche JJ, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ. 2005 Dec 10;331(7529):1374. doi: 10.1136/bmj.38643.663843.55. Epub 2005 Nov 18.

  PMID: 16299013 BACKGROUND

• Vermeylen K, Van Aken D, Versyck B, Casaer S, Bleys R, Bracke P, Groen G. Deep posterior gluteal compartment block for regional anaesthesia of the posterior hip: a proof-of-concept pilot study. BJA Open. 2023 Feb 15;5:100127. doi: 10.1016/j.bjao.2023.100127. eCollection 2023 Mar.

  PMID: 37587997 BACKGROUND

Study Officials

• HATİCE SELÇUK KUŞDERCİ

  SAMSUN UNİVERSITY

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: December 11, 2024
• First Posted: February 21, 2025
• Study Start: February 24, 2025
• Primary Completion: December 15, 2025
• Study Completion: December 31, 2025
• Last Updated: January 6, 2026

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)