Status:
COMPLETED
Single Shot Lumbar Erector Spinae Plane (ESP) Block in Total Hip Replacement (THR)
Lead Sponsor:
Tuen Mun Hospital
Conditions:
Total Hip Replacement
Analgesia
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Total hip replacement is a common orthopaedic procedure that improves pain and mobility in a variety of pathologies like osteoarthritis, rheumatoid arthritis and avascular necrosis. Post-operative com...
Detailed Description
After a pilot study regarding opioid use for patient after THR, the sample size for either treatment or control arm is calculated to be 35 patients per group to achieve adequate power to detect such a...
Eligibility Criteria
Inclusion
- Adult patients (age \>=18)
- American Society of Anesthesiologists (ASA) class 1-3
- primary elective unilateral THR
- understand and accept the risk for general anaesthesia and ESP block
- counselled of post-operative patient controlled analgesia (PCA) and deemed fit for its use.
Exclusion
- emergency THR
- bilateral THR
- revision THR
- THR done under neuraxial technique (e.g. spinal anaesthesia, combined spinal epidural anaesthesia)
- Patient with contraindication for ESP block (i.e. patient refusal, injection site infection or spine pathology/surgery, coagulopathy with international normalised ratio (INR) \> 1.4 and thrombocytopenia \< 75 x 10\^9/L)
- patient who are mentally incompetent
- severe obesity (Body Mass Index \>= 35)
- severe obstructive sleep apnea syndrome (Apnoea hypopnoea index \>= 30, no matter on treatment or not)
- patient on regular strong opioid (e.g. morphine, oxycodone, methadone, buprenorphine, fentanyl)
- patient who have undergone hip neurolysis
Key Trial Info
Start Date :
July 1 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 20 2021
Estimated Enrollment :
71 Patients enrolled
Trial Details
Trial ID
NCT04388553
Start Date
July 1 2020
End Date
November 20 2021
Last Update
April 16 2024
Active Locations (1)
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1
Department of Anaesthesia and Intensive Care, Tuen Mun Hospital
Hong Kong, Hong Kong