A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture
Overview
- Phase
- Not Applicable
- Intervention
- Facia Iliaca block
- Conditions
- Postoperative Pain
- Sponsor
- Ain Shams University
- Enrollment
- 128
- Locations
- 1
- Primary Endpoint
- first request of analgesia
- Status
- Completed
- Last Updated
- last year
Overview
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
Investigators
Rania Maher Hussien, MD
Assistant professor of Anaesthesia
Ain Shams University
Eligibility Criteria
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
Arms & Interventions
Group I: Facia Iliaca block
patients will receive Ultrasound-guided Facia Iliaca Block using bupivacaine 0.25%
Intervention: Facia Iliaca block
Group Q: Anterior Quadratus lumbroum block
patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%
Intervention: Anterior Quadratus Lumbroum block
Group Q: Anterior Quadratus lumbroum block
patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%
Intervention: bupivacaine
Outcomes
Primary Outcomes
first request of analgesia
Time Frame: 48 hours postoperative
the time the patient felt pain and asked for analgesics
Secondary Outcomes
- total opioid consumption(48 hours postoperative)