Comparison of ultrasound guided Lumbar Erector Spinae Plane block versus Ultrasound guided Fascia Iliaca Compartment block for postoperative analgesia after femoral surgeries-A randamized control study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Bangalore Baptist Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- 1)Efficacy of post operative analgesia(till 24hrs after shifting out from OT) as evaluated by numerical rating scale
Study Overview
Brief Summary
This study aims to compare the effects of ultrasound-guided Lumbar erector spinae plane block versus ultrasound-guided Fascia iliaca Compartment block for postoperative analgesia following femur surgeries. The two groups will be assessed in terms of efficacy of analgesia, as measured by a standardized pain assessment score. The requirement of rescue analgesia in the first 24hours and proportions of patients who requires will also be assessed. Nausea , vomiting and residual motor weakness in both the groups will be recorded. We want to know if the Lumbar Erector Spinae block provides as good or better postoperative analgesia than the Fascia Iliaca Compartment block as part of a multimodal analgesia for femoral surgeries.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Open Label
Eligibility Criteria
- Ages
- 18.00 Year(s) to 80.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •patient of ASA(American Society of Anesthesiologist) physical status 1,2,3 Elective and emergency femur surgeries.
Exclusion Criteria
- •Refusal of consent for study Patient with bleeding or coagulation abnormalities or on therapeutic anticoagulants medications Infection or injury at the injection site Patients with significant preexisting neurological deficits, both central and peripheral Acute polytrauma cases Patient with history of allergy to local anesthetic/Diclofenac Hemodynamically unstable patients or those requiring postoperative ventilation.
Outcomes
Primary Outcomes
1)Efficacy of post operative analgesia(till 24hrs after shifting out from OT) as evaluated by numerical rating scale
Time Frame: 1)Efficacy of post operative analgesia(till 24 hrs after shifting out from OT) as evaluated by numerical rating scale | 2)Total rescue analgesia use(till 24 hrs after shifting out from OT) | 3)Proportion of patient who requires rescue analgesia
2)Total rescue analgesia use(till 24 hrs after shifting out from OT)
Time Frame: 1)Efficacy of post operative analgesia(till 24 hrs after shifting out from OT) as evaluated by numerical rating scale | 2)Total rescue analgesia use(till 24 hrs after shifting out from OT) | 3)Proportion of patient who requires rescue analgesia
3)Proportion of patient who requires rescue analgesia
Time Frame: 1)Efficacy of post operative analgesia(till 24 hrs after shifting out from OT) as evaluated by numerical rating scale | 2)Total rescue analgesia use(till 24 hrs after shifting out from OT) | 3)Proportion of patient who requires rescue analgesia
Secondary Outcomes
- 1)Incidence of any adverse events(2)Assessment of motor power in both groups)