Analgesia For Positioning Patient With Femur Fracture For Spinal Anaesthesia : Ultrasound-Guided Fascia Iliaca Compartment Block Versus Intravenous Fentanyl
Overview
- Phase
- Not Applicable
- Intervention
- Ropivacaine
- Conditions
- Femoral Fracture
- Sponsor
- Kuala Lumpur General Hospital
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Pain score during positioning
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study is performed to determine the efficacy of ultrasound-guided fascia iliaca compartment block during positioning for spinal anaesthesia in patient undergoing repair of proximal femur fracture surgery comparing with intravenous fentanyl.
Detailed Description
This a prospective, single-blind, randomized control study that compare the efficacy of ultrasound-guided fascia iliaca compartment block with intravenous fentanyl in positioning patient with femur fracture for spinal anaesthesia.
Investigators
Dr Aida Mastura Mohd Shah
Principle Investigator
Kuala Lumpur General Hospital
Eligibility Criteria
Inclusion Criteria
- •American Society of Anaesthesiologists (ASA) score I and II
- •Elective surgery of repair of unilateral, single femoral fracture under spinal anaesthesia performed in General Operation Theatre, Hospital Kuala Lumpur. The fracture may involve femoral neck or femoral shaft.
Exclusion Criteria
- •Patient with contraindication for spinal anaesthesia
- •Known hypersensitivity or contraindication to medication used in this study
- •Morbid obesity (body mass index (BMI) \> 35 kg/m2)
- •Infection at the intended site of administration of fascia iliaca compartment block
- •Patient with impaired cognitive function
Arms & Interventions
fascia iliaca compartment block
Patient will receive 40ml of ropivacaine 0.375% at the fascia iliaca compartment under the guidance of ultrasound. It will be given 20 minutes before patient is positioned for spinal anaesthesia
Intervention: Ropivacaine
fascia iliaca compartment block
Patient will receive 40ml of ropivacaine 0.375% at the fascia iliaca compartment under the guidance of ultrasound. It will be given 20 minutes before patient is positioned for spinal anaesthesia
Intervention: Ultrasound
intravenous fentanyl
Patient will receive 0.5 mcg/kg of intravenous fentanyl. It will be given 5 minutes before patient is positioned for spinal anaesthesia
Intervention: Fentanyl
Outcomes
Primary Outcomes
Pain score during positioning
Time Frame: Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl)
Pain score is assessed using Visual Analogue Scale (VAS) score
Secondary Outcomes
- Ease of positioning for spinal anaesthesia(Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl))
- Adverse effects(Up to 24 hours of intervention)
- Patient satisfaction(24 hours after intervention)