Spinal and Nerve block study for hip surgeries

Completed

Conditions: Acquired deformity of pelvis,

Registration Number: CTRI/2019/12/022488

Lead Sponsor: Department of Anaesthesiology

Brief Summary: Aim & Objectives: To compare the intraoperative hemodynamic stability & post operative analgesic efficacy in mini dose bupivacaine -fentanyl spinal anaesthesia combined with fascia iliaca block for hip surgeries in geriatric population.

Methods: Geriatric patients coming for hip surgeries who meet the inclusion criteria were recruited, and randomly assigned into 2 groups . Group A- Ultrasound guided fascia iliaca compartment block performed with 30 ml of normal saline, epidural catheter is inserted in L2-L3 interspace (rescue anaestheisa) and unilateral spinal anaesthesia performed in lateral position with operative limb in dependent position with 0.5% bupivacaine 5 mg+ 25 mcg fentanyl in L3- L4 inter space. Group B- Ultrasound guided fascia iliaca compartment block performed with 30 ml of 0.25% bupivacaine, epidural catheter is inserted in L2-L3 interspace (rescue anaestheisa) and unilateral spinal anaesthesia performed in lateral position with operative limb in dependent position with 0.5% bupivacaine 5 mg+ 25 mcg fentanyl in L3- L4 inter space. HR,NIBP, MAP, SPo2 will be monitored continuously from the start of giving anaesthesia till the end of the surgery at an interval of 15 minutes. postoperative VAS scores and total dose of opioids consumed assesed upto 12 hours after surgery.

Expected outcome: Decreased post operative VAS scores and Opioid consumption dosage in Group B

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 45

Inclusion Criteria

1.ASA risk status PS I,II, III 2.Cases posted for hip surgeries 3.Written informed consent.

Exclusion Criteria

1.Patient refusal 2.ASA PS IV 3.Coagulopathies 4.Prolonged surgery more than 180 minutes 5.Cardiovascular instability 6.Infection at site of block 7.Allergy to opioids 8.Significant peripheral neuropathy affecting lower extremity 9.Previous femoral bypass surgery.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hemodynamic Stability	From preoperative period till the end of surgery

Secondary Outcome Measures

Name	Time	Method
Post operative VAS Score	From the end of surgery till 12 hours postoperatively
Total Opioids dosage consumed.	From the end of surgery till 12 hours postoperatively

Trial Locations

Locations (1): Kanyakumari government medical college hospital
🇮🇳
Kanniyakumari, TAMIL NADU, India
Kanyakumari government medical college hospital
🇮🇳Kanniyakumari, TAMIL NADU, India
Dr Loretta raj
Principal investigator
9443151170
lorettaraj1986@gmail.com