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A prospective randomised controlled trial involving patients undergoing hip arthroscopy. Participants were randomised to receiving either Fascia Iliaca Compartment Block (FICB) or Local Anaesthetic Infiltration (LAI) of the portal tracts with local anaesthetic. Supplemental analgesia was also used in both groups on an on-demand basis. Pain level is assessed at 1,3,6, and 24 hours post surgery. The primary outcome measure was the post-operative level of pain as assessed by Numeric Pain Score 6 hours after surgery. Secondary outcome measures were the frequency and the dose of morphine and other medications consumed at 1 and 24 hours after surgery as well as any other adverse events relating to pain or medications used for pain relief in both the groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Procedure - FICB | Experimental | Fascia Iliaca Block following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml |
|
| Procedure - LAI | Active Comparator | Local Anaesthetic Infiltration following Hip Arthroscopy - Drug - Levobupivacaine 0.125% - 40ml |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fascia Iliaca Compartment Block (FICB) | Procedure | Fascia Iliaca Compartment Block |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Level of pain as assessed by Numeric Pain Score | 6 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of morphine consumed | 1 and 24 hours after surgery | |
| Total dose of morphine consumed | 1 and 24 hours after surgery | |
| Total dose of codeine consumed |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vikas Khanduja, MA, FRCS (Orth) | Cambridge University Hospitals NHS Foundation Trust | Study Director |
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| ID | Term |
|---|---|
| D057925 | Femoracetabular Impingement |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077554 | Levobupivacaine |
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Local Anaesthetic Infiltration (LAI) |
| Procedure |
Local Anaesthetic Infiltration (LAI) of the portal tracts |
|
| Levobupivacaine | Drug | Levobupivacaine 0.125% - 40ml |
|
| 1 and 24 hours after surgery |
| Nausea and Vomiting | 1 and 24 hours after surgery |
| Aniline Compounds |
| D000588 | Amines |