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THR (Total Hip Replacement) can be very painful and regional anesthesia is very effective in reducing postoperative pain. Fascia Iliaca Block (FIB) and Erector Spinae Plane Block (ESPB) are indirect approaches to the lumbar plexus that resulted to be very promising for THR. However, no studies investigated the analgesic superiority of either FIB or ESPB. In our study the investigators compare FIB and ESPB in terms of pain relief expressed as morphine consumption in the first 24 hours after primary THR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FIB | Experimental | ultrasound guided Fascia Iliaca Block |
|
| ESPB | Experimental | ultrasound guided Erector Spinae Plane Block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FIB | Procedure | FIB with ultrasound: Ropivacaine 0.5% 40 ml |
| |
| ESPB |
| Measure | Description | Time Frame |
|---|---|---|
| morphine | milligrams of morphine consumed in the first postoperative day | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| perceived postoperative pain: Numeric Rating Scale (NRS) | 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain" | 24 hs |
| perceived postoperative pain: Numeric Rating Scale (NRS) | 11 point scale from 0 = "no pain" to 10 = "worst imaginable pain" |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aast Papa Giovanni Xxiii | Bergamo | 24127 | Italy |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000775 | Anesthesia, Spinal |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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randomized trial
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| Procedure |
ESPB (L4) with ultrasound: Ropivacaine 0.5% 40 ml |
|
| spinal anesthesia | Procedure | bupivacaine 0,5% 2.2 ml |
|
| 48 hours |
| side effects | occurrence of nausea/vomiting, ileum, pruritus and urinary retention in the first 48 hours | 48 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |