Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

Not Applicable

Completed

• Conditions: Postoperative Pain
• Interventions: Procedure: Facia Iliaca block; Procedure: Anterior Quadratus Lumbroum block; Drug: bupivacaine

• Registration Number: NCT04709211
• Lead Sponsor: Ain Shams University

Brief Summary

Fractures of the femur are common orthopaedic emergency especially in the geriatric population and central neuraxial blocks are the preferred technique for providing anaesthesia. However, limb immobility and extreme pain are the deterrents for ideal positioning for these procedures. postoperative pain is a nightmare so adequate analgesia has been advocated to reduce the pain. in this study, Facia Iliaca compartment block will be compared to anterior Quadratus lumborum block, both will be done Ultrasound-guided using Bupivacain0.25% for postoperative analgesia at the end of the surgery.

Detailed Description

In this prospective, randomized, comparative study patients will be equally divided into two equal groups; GroupI: patients will receive Ultrasound-guided Facia Iliaca compartment block with 50 ml 0.25%bupivacaine at the end of surgery Group Q: patients will receive Ultrasound-guided anterior Quadratus lumborum block with 50 ml 0.25%bupivacaine at the end of surgery

Study Timeline

• Study First Submitted: 2021-01-07
• Study Start: 2021-01-10
• Study First Submitted QC: 2021-01-13
• Study First Posted: 2021-01-14
• Primary Completion: 2021-06-30
• Study Completion: 2021-07-01
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-05
• Last Update Posted: 2024-10-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 128

Inclusion Criteria

• ASA II to IV
• Both sexes
• scheduled for fracture femur surgeries

Exclusion Criteria

• patients with bleeding disorders and coagulopathy
• infection at the injection site
• known allergy to local anaesthetics
• patients with multiple fractures
• patients with pre-existing myopathy or neuropathy
• patients with significant cognitive dysfunction
• patients who receive long-acting opioids preoperatively

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I: Facia Iliaca block	Facia Iliaca block	patients will receive Ultrasound-guided Facia Iliaca Block using bupivacaine 0.25%
Group Q: Anterior Quadratus lumbroum block	Anterior Quadratus Lumbroum block	patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%
Group Q: Anterior Quadratus lumbroum block	bupivacaine	patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%

Primary Outcome Measures

Name	Time	Method
first request of analgesia	48 hours postoperative	the time the patient felt pain and asked for analgesics

Secondary Outcome Measures

Name	Time	Method
total opioid consumption	48 hours postoperative	total dose of fentanyl used

Trial Locations

Locations (1)

Ain Shams University; 🇪🇬 Cairo, Abassia, Egypt