Intérêt du TFP (Transversalis Fascia Plane) Bloc échoguidé Pour l'analgésie du prélèvement Osseux de crête Iliaque

NCT02398474 Phase 4 COMPLETED

Iliac crest bone graft harvest is associated with acute pain that can lead to chronic postoperative pain. Local anesthetic infiltration and regional anesthesia could be of interest to reduce opioid consumption during and after surgery, reduce hyperalgesia and the associated risk of chronic postoperative pain. In this surgery, local anesthetic infiltration of the iliac crest is associated with a pain reduction compare with placebo. Some studies have shown the benefit of a TAP (transversus abdominal block) for postoperative analgesia after iliac crest bone graft harvest. The TFP block (transversalis fascia plane block) has been recently described. Considering the nerves trajectories, the TFP block is probably anatomically the most appropriate block for analgesia after iliac crest bone graft harvest. The aim of this study is therefore to assess the benefit of an ultrasound TFP block for analgesia after iliac crest bone graft harvest compare with local anesthetic infiltration Design is prospective, randomized, double blind, controlled study

Details

Lead sponsor	Rennes University Hospital
Phase	Phase 4
Status	COMPLETED
Enrolment	46
Start date	2015-05-12
Completion	2018-12

Conditions

• Patients Scheduled for Iliac Crest Bone Graft Harvest During Upper or Lower Limb Surgery

Interventions

• TFP block ropivacaine
• ropivacaine infiltration of the iliac crest bone

Primary outcomes

• Morphine consumption 24 hours after the surgery — 24 hours

Countries

France