QLESP Block Versus Periarticular Infiltration for Postoperative Analgesia in Hip Surgery
NCT06688136 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 68
Last updated 2025-09-09
Summary
Local and/or regional analgesia techniques are critical components of an optimal multimodal analgesia technique, as they have been shown to improve pain relief as well as reduce opioid requirements. Optimal pain management technique balances pain relief with concerns about safety and adverse effects associated with analgesic techniques. Periarticular infiltration (PAI) is increasingly included as a component of multimodal analgesia technique for patients undergoing THA, as it provides improved postoperative pain relief with no effects on quadriceps function. Recently, our group has developed a novel transmuscular quadratus lumborum and modified erector spinae plane (QLESP) block, which is characterized by simple operation, high efficiency, and wide dermatomal coverage of sensory block. Therefore, we designed a randomized controlled trial to compare ultrasound-guided QLESP with PAI as a component of non-opioid analgesic regimen in patients undergoing THA via posterior approach. We hypothesized that QLESP would provide superior analgesia when compared with PAI. The primary outcome of the study was postoperative opioid requirements within the initial 24-h postoperative period after THA. The secondary objectives were to compare pain scores, postoperative quadriceps strength, the time to first rescue analgesia, opioid-related adverse effects, time to ambulation, and the time to hospital discharge.
Conditions
- Regional Anaesthesia
Interventions
- DRUG
-
ropivacaine
Ropivacaine 200 mg diluted to 50 mL
Sponsors & Collaborators
-
Huazhong University of Science and Technology
lead OTHER
Principal Investigators
-
Xi Wu · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-18
- Primary Completion
- 2025-09-05
- Completion
- 2025-09-05
Countries
- China
Study Locations
More Related Trials
-
A Study of Ropivacaine Complex Methylene Blue Fascia Iliaca Compartment Block on Analgesia in Patients Undergoing Hip Arthroplasty
NCT06284941 ·Status: COMPLETED ·Phase: NA
-
The Difference Between the Extrafascial Injection and the Subfascial Injection of Quadratus Lumborum Block
NCT03421821 ·Status: COMPLETED ·Phase: NA
-
A Study of Ropivacaine Combined With Different Concentrations of Methylene Blue Fascia Iliaca Block in Postoperative Analgesia, Cognition, and Hip Function Recovery in Patients Undergoing Hip Arthroplasty
NCT06520306 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Pain Control Following Total Hip Arthroplasty
NCT05062356 ·Status: COMPLETED ·Phase: PHASE1
-
Total Hip Arthroplasty: Multiple Blocks by UltraSound
NCT01276925 ·Status: UNKNOWN ·Phase: NA
-
Pericapsular Nerve Group Block for Total Hip Arthroplasty
NCT04295408 ·Status: COMPLETED ·Phase: NA
-
Study Comparing a Nerve Block With Spinal Opiate to Provide Pain Relief for Hip Replacement Surgery
NCT01217294 ·Status: COMPLETED ·Phase: NA
-
Quadratus Lumborum vs Erector Spinae Supplementary Blocks With Lumbar Plexus Blocks for Hip PAO
NCT04481451 ·Status: WITHDRAWN ·Phase: PHASE4
-
Erector Spinae vs. PENG Block for Total Hip Arthroplasty
NCT06083428 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of Analgesia in Total Knee Arthroplasty
NCT01304212 ·Status: COMPLETED ·Phase: PHASE4
-
Pericapsular Nerve Group (PENG) Block Combined With Periarticular Multimodal Drug Injection (PMDI) Versus Isolated PMDI for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial
NCT05320913 ·Status: UNKNOWN ·Phase: NA
-
Quadratus Lumborum Block Versus Control for Total Hip Arthroplasty
NCT03408483 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Transmuscular Quadratus Lumborum Block Plus Pericapsular Injection vs Pericapsular Injection
NCT04353414 ·Status: COMPLETED ·Phase: PHASE4
-
PENG vs. QLB vs. Lumbar ESPB in Total Hip Surgery
NCT05600244 ·Status: UNKNOWN ·Phase: NA
-
Prospective Comparative Study Between Ultrasound-guided Quadratus Lumborum Block Versus Fascia Iliaca Compartment Block for Postoperative Pain and Cognitive Dysfunction Management in Patient Undergoing Hip Surgery
NCT06407544 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison Between Blocks or Not in Joint Arthroplasty
NCT06230081 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
PENG Block vs Supra-inguinal Fascia Iliaca Compartment Block for Postoperative Opioids Consumption and Early Motor Recovery After THA: a Randomized Controlled Non-inferiority Clinical Trial.
NCT04690023 ·Status: UNKNOWN ·Phase: PHASE4
-
Ultrasound Guided Fascia Iliaca Block for Pain Control After Elective Hip Replacement Surgery
NCT02108847 ·Status: COMPLETED ·Phase: NA
-
Psoas Compartment Block Versus Periarticular Local Anesthetic for Total Hip Arthroplasty
NCT02658149 ·Status: COMPLETED ·Phase: PHASE4
-
Comparative Assessment of Effectiveness and Safety of L-ESPB Versus Absence of Locoregional Block in Hip Surgery
NCT06567522 ·Status: RECRUITING ·Phase: PHASE4
-
US-guided FICB After Hip Fracture: the Effect of the Local Anesthetic Volume on the Quality of Preoperative Analgesia
NCT04692857 ·Status: COMPLETED ·Phase: NA
-
PENG Block vs ESPB in Elderly Undergoing Hip Surgeries
NCT06993376 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
MED90 of Ropivacaine for Peripheral Nerve Block on Posture-evoked Pain in Spinal Anesthesia Positioning
NCT04705974 ·Status: UNKNOWN ·Phase: NA
-
Pericapsular Nerve Group Block Versus Lumber Erector Spinae Plane Block for Pain Management After Total Hip Arthroplasty
NCT05050487 ·Status: UNKNOWN ·Phase: NA
-
Volume Effect in Peng Block for Total Hip Replacement
NCT06427551 ·Status: COMPLETED