Ultrasound Guided Fascia Iliaca Block Versus Intravenous Dexmedetomidine and Ketamine for Positioning Fracture Femur Patients During Spinal Anesthesia: Randomized Comparison Study
Overview
- Phase
- Not Applicable
- Intervention
- ultrasound guided facia iliaca block
- Conditions
- Pain
- Sponsor
- Minia University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Behavioral pain scale
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Investigators
Hassan Mokhtar Elshorbagy Hetta
lecturer of anesthesia and ICU
Minia University
Eligibility Criteria
Inclusion Criteria
- •Aged 18-60 years.
- •Hip fractures
- •Both sexes.
Exclusion Criteria
- •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
Arms & Interventions
facia iliaca block
Intervention: ultrasound guided facia iliaca block
Precedex and ketamine
Intervention: Intravenous drug
Outcomes
Primary Outcomes
Behavioral pain scale
Time Frame: during spinal anesthesia
0 = calm, 1 = facial grimacing, 2 = moaning, 3 = screaming, and 4 = unable to proceed because of restlessness or agitation
Secondary Outcomes
- Quality of patient's position(before spinal anesthesia)