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 total hip 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 replacement surgery?
Participants undergoing hip arthroplasty 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
Qualifiers
Age ≥ 18 years
Patients undergoing hip arthroplasty 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 design
Treatments tested in this trial
- Fascia iliaca block (FIB)