Using ultrasound to reduce pain after hip surgery in children
Ultrasound-guided Fascia Iliaca Compartment Block for Proximal Femoral Osteotomy in Pediatric Patients: a Randomized Controlled Trial
This study is testing if using an ultrasound-guided pain block can help kids aged 3 to 18 feel less pain and use fewer opioids after hip surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 36 (estimated) |
| Ages | 3 Years to 18 Years |
| Sex | All |
| Sponsor | Seoul National University Hospital Academic / other |
| Locations | 1 site (Seoul) |
| Trial ID | NCT04570891 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the effectiveness of a fascia iliaca compartment block (FICB) in reducing postoperative pain and opioid use in pediatric patients undergoing proximal femoral osteotomy. Participants aged 3 to 18 years will be randomly assigned to receive either the FICB combined with intravenous patient-controlled analgesia (IV PCA) or standard IV PCA alone. The study will measure total opioid consumption and pain scores at various intervals post-surgery to assess the impact of the intervention. The FICB will be administered under ultrasound guidance using a specific dosage of ropivacaine at the end of the surgical procedure.
Who should consider this trial
Good fit: Ideal candidates are children aged 3 to 18 years scheduled for proximal femoral osteotomy.
Not a fit: Patients with complex surgeries, allergies to opioids or local anesthetics, or significant organ impairments may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce postoperative pain and opioid consumption in children undergoing hip surgery.
How similar studies have performed: Previous studies have shown that fascia iliaca compartment blocks can effectively reduce pain and opioid use in similar surgical contexts, indicating a promising approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: - 36 children aged between 3 and 18 years who undergo proximal femoral osteotomy Exclusion Criteria: * Complex surgery (other than proximal femoral osteotomy) * Allergy to opioid * Allergy to local anesthetics * Disease in heart, lung, kidney, and liver * Coagulation disorder * Disease in the central and peripheral nervous system * Unstable vital sign * Significant renal impairment (Creatinine\> 3.0 mg/dl) * Significant hepatic impairment (aspartate transaminase\> 120 unit/L, alanine aminotransferase\> 120 unit/L)
Where this trial is running
Seoul
- Jin-Tae Kim — Seoul, Korea, Republic of (Recruiting)
Study contacts
- Study coordinator: Young Eun Jang, MD
- Email: na0ag2@hotmail.com
- Phone: 082-02-2072-3665
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.