Ultrasound Guided Fascia Iliaca Block Versus Intravenous Dexmedetomidine and Ketamine for Positioning Fracture Femur Patients During Spinal Anesthesia: Randomized Comparison Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Behavioral pain scale
研究概览
简要总结
Proximal femur fractures are one of the commonest fractures especially in the elderly population. Early surgical fixation is the best analgesic for associated pain. Spinal anesthesia has been favored by many anesthesiologists due to the simplicity of the technique, the better analgesic profile, and the lower incidence of complications like delirium and thromboembolic events. However, severe pain, encountered during positioning for spinal anesthesia, can complicate the technique and worsen the patient experience.
the study aim to compare the analgesic effect of intravenous dexmedetomidine and fascia iliaca block preoperatively to assist positioning patients for performance of spinal anesthesia.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18-60 years.
- •Hip fractures
- •Both sexes.
排除标准
- •Patient refusal
- •Allergy to local anesthetics
- •Bleeding diathesis or history of anticoagulant use.
- •impaired cognition or dementia
- •. Infection of the skin at the site of needle punctures area
- •multiple fractures
- •Any previous analgesic administration during the last 12 hours
研究组 & 干预措施
facia iliaca block
干预措施: ultrasound guided facia iliaca block (Device)
Precedex and ketamine
干预措施: Intravenous drug (Drug)
结局指标
主要结局
Behavioral pain scale
时间窗: during spinal anesthesia
0 = calm, 1 = facial grimacing, 2 = moaning, 3 = screaming, and 4 = unable to proceed because of restlessness or agitation
次要结局
- Quality of patient's position(before spinal anesthesia)
研究者
Hassan Mokhtar Elshorbagy Hetta
lecturer of anesthesia and ICU
Minia University