Evaluation of the Postoperative Analgesic Efficacy of the Quadroiliac Plane (QIP) Block in Femur Fracture Surgery
NCT07009782 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-11-20
Summary
The goal of this clinical trial is to learn whether the Quadroiliac Plane (QIP) block helps reduce postoperative opioid use in adults undergoing femur fracture surgery. It will also evaluate the pain control effectiveness, dermatomal spread, and safety of the QIP block. The main questions it aims to answer are:
Does the QIP block reduce total opioid (fentanyl) consumption within 24 hours after surgery?
Does the QIP block reduce the need for rescue analgesia?
What is the extent of dermatomal spread and are there any side effects or complications?
Researchers will compare patients receiving the QIP block to those receiving standard care without a block to see if the QIP block improves pain management outcomes.
Participants will:
Undergo femur fracture surgery under spinal anesthesia
Be randomly assigned to receive either the QIP block or no block after surgery
Use a patient-controlled analgesia (PCA) device with fentanyl
Have their pain scores, drug use, and recovery quality measured over 24 hours
Undergo a cold test at 2 hours post-op and complete a recovery questionnaire at 24 hours
Conditions
- Femur Fracture
Interventions
- PROCEDURE
-
QIP block
The Quadroiliac Plane (QIP) block is a novel ultrasound-guided fascial plane block. In this study, it will be performed postoperatively under spinal anesthesia in the prone position. A low-frequency convex transducer will be used to visualize the quadratus lumborum muscle at its attachment to the inner iliac crest. Using an in-plane technique with a 22G x 100 mm needle, 40 mL of 0.25% bupivacaine will be injected into the fascial plane beneath the quadratus lumborum muscle. The block will be performed unilaterally on the surgical side. The aim is to provide postoperative analgesia in patients undergoing femur fracture surgery.
Sponsors & Collaborators
-
Kanuni Sultan Suleyman Training and Research Hospital
lead OTHER
Principal Investigators
-
Engin ihsan Turan, Specialist · Health Science University İstanbul Kanuni Sultan Süleyman Education and Training Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-01
- Primary Completion
- 2025-10-01
- Completion
- 2025-10-15
Countries
- Turkey (Türkiye)
Study Locations
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