E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
104 patients will be randomized to each of the two groups to apply TAP or femoral block, after which they were placed in lateral decubitus position and proceed to the performance of spinal anesthesia. The group will perform TAP TAP block with 30 ml of levobupivacaine 0.125% and the femoral group perform femoral block, levobuivacaína injecting 10 ml of 0.25%. Both blocks will be guided by ultrasound. |
104 pacientes serán asignados de forma aleatoria a cada uno de los dos grupos, para aplicarles un bloqueo TAP o femoral, tras el cual se les colocará en posición decubito lateral y se procederá a la realización de la anestesia intradural. Al grupo TAP se le realizará el bloqueo TAP con 30 ml de levobupivacaina 0,125% y al grupo Femoral se le realizará el bloqueo femoral, inyectando 10 ml de levobuivacaína 0,25%. Ambos bloqueos serán guiados con ultrasonidos. |
|
E.1.1.1 | Medical condition in easily understood language |
104 patients will be assigned to two different groups, to apply different types of anesthesia. Both will be guided by ultrasound. |
104 pacientes serán asignados a dos grupos diferentes, para aplicarles diferentes tipos de anestesia. Ambos serán guiados con ultrasonidos. |
|
E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate effectiveness of postoperative analgesic in TAP block versus femoral block in hip fracture |
Evaluar la eficacia analgésica postoperatoria del bloqueo TAP versus bloqueo femoral en pacientes mayores de 65 años sometidos a artroplastia parcial por fractura de cadera. |
|
E.2.2 | Secondary objectives of the trial |
- To analyze the necessity of postoperative analgesic - To value the effectiveness of block between both group - To compare their stay in URPA - To value the satisfaction in the patient |
- Analizar la necesidad de analgesia de rescate postcirugía. - Valorar la eficacia del bloqueo sensitivo y motor en ambos grupos. - Comparar la duración de su estancia en URPA. - Valorar el grado de satisfacción del paciente con la técnica realizada. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
inclusion criteria: - Sing of consent - More than 65 years old - ASA clasification (I-III) for anestesic risk - Hip fracture with parcial arthroplasty surgical treatment |
Criterios de inclusión: - Firma del consentimiento del paciente o tutor para participar en el estudio. - Pacientes mayores de 65 años - Riesgo anestésico determinado por la clasificación ASA: I-III. - Fractura intracapsular de cadera en la que se indique tratamiento quirúrgico mediante artroplastia parcial de cadera. |
|
E.4 | Principal exclusion criteria |
exclusion criteria: - Anestesic allergy - Mental illness - Periferic neuropathy - Intradural anesthetic contraindication |
Criterios de exclusión: - Alergia conocida a los anestésicos locales tipo amida. - Enfermedad mental que impida colaborar con la cumplimentacion de cuestionarios. - Neuropatía periférica. - Contraindicación para realizar anestesia intradural |
|
E.5 End points |
E.5.1 | Primary end point(s) |
After the surgery and the patient extubated, will move into the recovery room post-anesthesia (PACU). |
Una vez finalizada la cirugía y extubado el paciente, se trasladará a la unidad de reanimación post-anestesia (URPA). |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
In PACU the patient will pass the EVA survey to analyze the degree of pain. |
En URPA se le pasará al paciente la encuenta EVA para analizar el grado de dolor. |
|
E.5.2 | Secondary end point(s) |
At 24 hours reflects the degree of patient satisfaction. |
A las 24 horas se recogerá el grado de satisfacción del paciente. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Satisfaction Survey |
Encuesta de satisfacción |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
At 24 hours after admission the patient. |
A las 24 horas del ingreso del paciente. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |