Health TrialsbyHealthPanel

The Quadro-Iliac Plane (QIP) Block in Hip Surgery

ConditionsHip SurgeryHip Arthroplasty
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorSan Giovanni di Dio Hospital

About this trial

The goal of this observational study is to learn about the effectiveness of different locoregional anesthesia techniques, particularly the Quadro-Iliac Plane (QIP) block, in patients undergoing hip surgery, including arthroplasty. The main question it aims to answer is:

Does the QIP block improve postoperative recovery and pain control compared to other routinely used locoregional anesthesia techniques in patients undergoing hip surgery?

Participants undergoing hip surgery as part of their standard clinical care will receive one of the locoregional anesthesia techniques already in use at the hospital (including QIP block, fascia iliaca block, PENG block, or others, according to anesthesiologist choice). Postoperative outcomes will be collected prospectively, including quality of recovery (QoR-15 at 24 hours), pain scores at rest and during movement at predefined time points up to 48 hours, analgesic consumption, time to first analgesic request, time to mobilization, and occurrence of complications.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Patients undergoing hip surgery, either elective or for a proximal femoral fracture

Expected postoperative hospital stay ≥ 24 hours

ASA physical status I-III

Disqualifiers

Absence of informed consent

Contraindications to locoregional and/or spinal anesthesia

Allergy to local anesthetic agents

Cognitive impairment preventing reliable assessment of outcomes

Trial population

Patients undergoing hip arthroplasty surgery, either elective or for a proximal femoral fracture

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Fascia iliaca block (FIB)

    Procedure/Surgery

    Fascia Iliaca Block

Treatment groups

80 Participants
are divided into 1 treatment group
Group A: QIP1 intervention

Trial outcomes

Primary outcomes

1

Quality of Recovery (QoR)-15 score

The Quality of Recovery-15 (QoR-15) is a validated patient-reported outcome measure designed to assess the quality of postoperative recovery across multiple dimensions of physical and psychological well-being. The questionnaire consists of 15 items, each scored on an 11-point numerical scale, resulting in a total score ranging from: Minimum score: 0 → extremely poor quality of recovery Maximum score: 150 → excellent quality of recovery Higher QoR-15 scores indicate a better postoperative recovery experience. The questionnaire evaluates five key domains: Pain Physical comfort Physical independence Psychological support Emotional state

Time frame
24 hours postoperatively

Secondary outcomes

1

Postoperative Pain

The Numerical Rating Scale (NRS) is a validated and widely used tool for the assessment of pain intensity in clinical practice and perioperative research. Patients are asked to rate their pain on a numerical scale ranging from: 0 → no pain 10 → worst pain imaginable

Time frame
0-2-4-6-8-12-24-48 hours after surgery
2

First analgesia request

Duration of analgesia

Time frame
up to 48 hours
3

First mobilization

First mobilization of the patient after surgery

Time frame
24 hours postoperatively
4

Complications

Toxicity, PONV, others

Time frame
up to 48 hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

San Giovanni di Dio Hospital

Lead sponsor

Source ClinicalTrials.gov
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