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Analgesic Efficacy of Continuous S-ESP vs Continuous FICB After Hip Arthroplasty
Sponsor: Bach Mai Hospital
Summary
The primary objective of this prospective, randomized, double-blind controlled trial is to compare the postoperative analgesic efficacy of continuous Sacral Erector Spinae Plane (S-ESP) block versus continuous Fascia Iliaca Compartment Block (FICB) in adult patients undergoing elective hip replacement surgery. The investigators hypothesize that the continuous S-ESP block will provide non-inferior or superior pain relief compared to continuous FICB, while potentially reducing the incidence of motor block and facilitating earlier postoperative mobilization. Participants will be randomly assigned to receive either an S-ESP or FICB catheter for continuous local anesthetic infusion over 48 hours postoperatively. Postoperative pain scores, opioid consumption, and functional recovery will be systematically evaluated.
Official title: Comparison of the Analgesic Efficacy of Continuous Sacral Erector Spinae Plane Block (S-ESP) and Continuous Fascia Iliaca Compartment Block (FICB) After Hip Replacement Surgery: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 100 Years
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2025-09-25
Completion Date
2026-06-30
Last Updated
2026-04-08
Healthy Volunteers
No
Interventions
Continuous Sacral Erector Spinae Plane Block
Under ultrasound guidance, a catheter is inserted into the sacral erector spinae plane. A continuous infusion of local anesthetic (e.g., 0.2% Ropivacaine) is administered via the catheter for 72 hours postoperatively.
Continuous Fascia Iliaca Compartment Block
Under ultrasound guidance, a catheter is inserted deep to the fascia iliaca. A continuous infusion of local anesthetic (e.g., 0.2% Ropivacaine) is administered via the catheter for 72 hours postoperatively.
Locations (1)
Bach Mai Hospital
Hanoi, Hanoi, Vietnam