Fascia iliaca compartment block for analgesia in total hip replacement: A randomized controlled study protocol

Area of Science:

• Anesthesiology
• Orthopedic Surgery
• Pain Management

Background:

• Effective pain management is crucial for improving patient outcomes after total joint arthroplasty.
• The efficacy of fascia iliaca compartment block (FICB) for pain and opioid reduction after total hip replacement (THR) remains debated due to limited research.
• This study aims to evaluate the effectiveness and safety of FICB in postoperative analgesia following THR.

Purpose of the Study:

• To assess the efficacy of FICB in reducing postoperative pain after THR.
• To determine the impact of FICB on opioid consumption and length of hospital stay.
• To evaluate the safety profile of FICB for analgesia after THR.

Main Methods:

• A single-center, placebo-controlled randomized trial involving 100 patients undergoing THR.
• Patients were randomized into two groups: FICB (with ropivacaine and epinephrine) or Non-FICB.
• Primary outcomes included pain scores assessed by Visual Analog Scale; secondary outcomes covered complications, hospital stay, and opioid consumption.

Main Results:

• The study will present primary and secondary outcomes, including pain scores, postoperative complications, length of hospital stay, and total opioid consumption.
• Detailed results comparing the FICB and Non-FICB groups will be shown in Figure 1.
• Analysis will be conducted using SPSS for Windows Version 15.0.

Conclusions:

• This trial is expected to provide evidence supporting the use of FICB for postoperative analgesia after THR.
• The findings will contribute to the understanding of FICB's role in optimizing pain management following total hip replacement.
• Further research may be warranted to confirm these findings in larger, multi-center studies.