Evidence map›Paper›PMID 27006014›Full record

Trial reportBMC anesthesiology2016

Effect of lateral femoral cutaneous nerve-block on pain after total hip arthroplasty: a randomised, blinded, placebo-controlled trial.

Kasper H Thybo, Harald Schmidt, Daniel Hägi-Pedersen

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02957903 phase4completednot on this map

Sensory Distribution of Lateral Femoral Cutaneous Nerve Block - A Randomized, Blinded, Paired Trial in Healthy Volunteers

TypeinterventionalSponsorZealand University HospitalRan2016 to 2016Enrolled20ConditionsNerve Block, Anesthesia, Local, Pain, Postoperative, Anatomical DistributionArmsRopivacaine, Isotonic Saline
NCT03138668 phase2completednot on this mapstarted 2017, after this paper: background citation

The Influence of Different Doses of Local Anesthetic on the Distribution of Anesthesia of the Lateral Femoral Cutaneous Nerve - a Randomized, Blinded, Paired Study of Healthy Individuals

TypeinterventionalSponsorZealand University HospitalRan2017 to 2017Enrolled20ConditionsNerve Block, Anesthesia, Local, Pain, Postoperative, Anatomical DistributionArmsRopivacaine Injection
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kasper H ThyboDepartment of Anaesthesiology, Næstved Hospital, Ringstedgade 61, 4700, Næstved, Denmark. khty@regionsjaelland.dk.
Harald SchmidtDepartment of Orthopaedic Surgery, Næstved Hospital, Ringstedgade 61, 4700, Næstved, Denmark.
Daniel Hägi-PedersenDepartment of Anaesthesiology, Næstved Hospital, Ringstedgade 61, 4700, Næstved, Denmark.
Næstved Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is a common procedure associated with moderate postoperative pain. No nerve block without loss of motor function has been documented for THA. We hypothesised that an ultrasound-guided lateral femoral cutaneous nerve (LFCN) block added to a multimodal postoperative pain regimen would reduce postoperative pain after THA.

methodsOne hundred patients who had a THA by the posterior approach were evaluated in this randomised, placebo-controlled, blinded, parallel-group trial comparing an ultrasound-guided LFCN-block with either 8 ml of ropivacaine, 7.5 mg/ml, (Group Ropivacaine) or 8 ml of saline (Group Placebo) given postoperatively. Surgery was performed under spinal anaesthesia. The primary outcome was pain (measured on a Visual Analogue Scale (VAS)) 4 h post-blockade during 30° flexion of the hip. Secondary outcomes were pain at rest, pain during movement, oxycodone consumption (0-24 h), time to mobilisation, ability to mobilise, and length of stay. Patients, assessors and all staff involved with patient care were blinded to the intervention.

resultsThere was no difference in primary outcome between Group Ropivacaine and Group Placebo (VAS 27 mm vs. 31 mm, p = 0.41; difference -5 mm (95% CI: -15 mm - +5 mm). No differences in any of the secondary outcomes were observed. No adverse events, or harms, were observed during the trial.

conclusionPain scores, opioid use, time to mobilisation, and length of stay were low in both Group Ropivacaine and Group Placebo. We found no added analgesic effect of a LFCN-block when combined with paracetamol and ibuprofen after THA by the posterior approach.

trial registrationEudraCT: 2013-004501-12 (December 16th 2013).

Indexed as

Femoral NerveAgedAged, 80 and overAnesthetics, LocalArthroplasty, Replacement, HipAutonomic Nerve BlockDouble-Blind MethodFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementPostoperative PainProspective StudiesTreatment OutcomeAnesthetics, LocalLateral femoral cutaneous nerve blockPeripheral nerve blockPostoperative analgesiaTotal hip arthroplasty

Identifiers

PMID27006014
PMCPMC4804512
OpenAlexW2311854746

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.