Lumbar Plexus Block Application in Ultrasound-guided Shamrock Method

Not Applicable

Not yet recruiting

• Conditions: Nerve Block; Femoral Neck Fractures; Lumbosacral Plexus
• Interventions: Procedure: in-plane needle guidance; Procedure: out-of-plane needle guidance

• Registration Number: NCT06088368
• Lead Sponsor: Bursa Yüksek İhtisas Education and Research Hospital

Brief Summary

The more effective use of ultrasound in regional anaesthesia techniques has made different block applications possible. Lumbar plexus block is also used for post-operative analgesia and surgical anaesthesia. Currently, in-plane ultrasound-guided LPB is widely used in short-axis imaging and Shamrock imaging.

Detailed Description

The purpose of this use is to investigate the effectiveness of lumbar plexus block application applied with in-plane and out-of-plane methods accompanied by Shamrock imaging.

Study Timeline

• Status Verified: 2023-10
• Study First Submitted: 2023-10-12
• Study First Submitted QC: 2023-10-17
• Last Update Submitted: 2023-10-17
• Study First Posted: 2023-10-18
• Last Update Posted: 2023-10-18
• Study Start: 2023-10-20
• Primary Completion: 2024-01-25
• Study Completion: 2024-02-13

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• 18-90 years old
• ASA (American Society of Anaesthesiologist) Score I-III risk class
• Patients who will undergo femoral neck fracture operation.

Exclusion Criteria

• Local Anaesthetic Allergy
• With Bleeding Diathesis Disorder
• Mental Disorders
• Allergic to the medicines used
• Previous Cerebrovascular Disease
• Body Mass Index above 30

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
in-plane needle guidance	in-plane needle guidance	Ultrasound -guided lumbar plexus block
out-of-plane needle guidance	out-of-plane needle guidance	Ultrasound -guided lumbar plexus block

Primary Outcome Measures

Name	Time	Method
Block application time	up to 20 minutes	The stopwatch will be started by another researcher with the needle skin penetration and the stopwatch will be stopped as soon as the needle leaves the skin.

Secondary Outcome Measures

Name	Time	Method
Number of interventions	up to 20 minutes	intervention from the same or another site after exiting the skin
sensory block	up to 40 minutes	Both lower limbs sensory block time after the applied block will be evaluated by pinprick and cold test (10.15., 20., 25., 30., 35. and 40 minutes).
motor block	up to 40 minutes	Both lower limbs Modified Bromage scale was used to evaluate motor block. Modified Bromage scale 0 No motor block; 1. Raises the knee in flexion; 2. Raises the ankle; 3. Full block, can't move his foot
The number of needle guidance	up to 20 minutes	Retraction and re-advancement of the needle after skin entry without exiting the skin

Trial Locations

Locations (1)

University of Health Sciences,,Bursa Yuksek Ihtisas Training and Research Hospital,; 🇹🇷 Bursa, Turkey