A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- first request of analgesia
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •ASA II to IV
- •Both sexes
- •scheduled for fracture femur surgeries
排除标准
- •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
研究组 & 干预措施
Group I: Facia Iliaca block
patients will receive Ultrasound-guided Facia Iliaca Block using bupivacaine 0.25%
干预措施: Facia Iliaca block (Procedure)
Group Q: Anterior Quadratus lumbroum block
patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%
干预措施: Anterior Quadratus Lumbroum block (Procedure)
Group Q: Anterior Quadratus lumbroum block
patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%
干预措施: bupivacaine (Drug)
结局指标
主要结局
first request of analgesia
时间窗: 48 hours postoperative
the time the patient felt pain and asked for analgesics
次要结局
- total opioid consumption(48 hours postoperative)
研究者
Rania Maher Hussien, MD
Assistant professor of Anaesthesia
Ain Shams University