comparing two approaches of a nerve block for post operative pain after hip surgeries

Phase 4

Not yet recruiting

• Conditions: Fracture of head and neck of femur,

• Registration Number: CTRI/2021/02/031209
• Lead Sponsor: TMMC

Brief Summary

•The Fascia Iliaca Compartment Block (FICB) has been used for perioperative analgesia in patients undergoing hip surgeries(1).

•The FICB has a higher rate of block of the femoral and lateral femoral cutaneous nerve than perivascular femoral nerve block (2).

• In the literature there are two techniques of Fascia Iliaca Compartment Block (FICB) administration has been described, a conventional infrainguinal approach by Dalens (1) and a modified suprainguinal approach by Stevens (3).

•

•But, despite its higher spread, there has been no clinical randomized trial published in the literature, showing the superiority among modified suprainguinal approach of FICB to infrainguinal for postoperative pain relief in  hip surgeries(4,5).

•We therefore undertake this prospective randomized trial to evaluate which technique among FICB confers more postoperative analgesic benefit in patients undergoing  hip surgeries.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-02-15
• Last Update Posted: 2021-10-02

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Not specified
• Target Recruitment: 90

Inclusion Criteria

• Age – 18 to 60 years Gender – both male and female Patients listed for elective surgery under lumbar subarachnoid block Elective surgeries lasting 90-120 mins. Hip surgeries.
• Total hip replacement Hemi arthroplasty- Unipolar and Bipolar Proximal femoral nailing Dynamic hip screw Core decompression.

Exclusion Criteria

• ASA grade 3 or more Patients on chronic analgesic therapy.
• Allergy to local anesthetic Infection at the block site.
• Neurological deficit in lower limbs.
• Contraindication to subarachnoid block (SAB).
• Inability to comprehend visual analogue scale (VAS) score Neuro muscular disorders Patient requiring conversion to GA Prolonged surgeries.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the post operative analgesia period of suprainguinal approachof FICB and infrainguinal approach of FICB	To compare postoperative analgesia of both suprainguinal and infrainguinal approach of FICB

Secondary Outcome Measures

Name	Time	Method
Hemodynamic parameters,HR,MAP,Time of first resque analgesia,side effects if any	24 hours

Trial Locations

Locations (1)

TEERTHANKER MAHAVIR MEDICAL COLLEGE AND RESEARCH CENTRE; 🇮🇳 Moradabad, UTTAR PRADESH, India

TEERTHANKER MAHAVIR MEDICAL COLLEGE AND RESEARCH CENTRE

🇮🇳Moradabad, UTTAR PRADESH, India

Sangeeth S

Principal investigator

9495671793

dr.sangeethsureshkumar@gmail.com