Comparison of local anaesthetic drug injection at two points in the junction of thigh and abdomen- one point above the junction and second below the junction to assess the blockade of nerves supplying the thigh.

Completed

• Conditions: Patients posted from lower limb surgeries requiring post operative analgesia

• Registration Number: CTRI/2018/05/013587
• Lead Sponsor: Mahatma Gandhi Medical College and Research Institute

Brief Summary

Afterobtaining approval from the institutional ethical committee and obtainingpatient consent, 60 patients schedule for lower limb surgeries ( fulfillinginclusion criteria ) will be recruited for this study.

After the initial assessment, patient willbe randomised based on the allocation number using closed envelope technique.Patient will be prepared for the FICB procedure and the distance from supra- inguinaland infra- inguinal injection points from the ligament will be measured usingultrasound.

Patientwill be continuously monitored and hemodynamic parameters recorded every 10 minutes.The motor and sensory  assessment afterthe block, will be done by the examiner blinded to the approach used for FICB. Sensoryassessment will be done at 30, 45 and 60 minutes after block

A successful 3 nerve block is consideredwhen the sensory assessement score for cold sensation is 0 and motor powerscore for quadriceps and adductor muscles is 1-0 and 50% decrease in pressuregenerated by adductor squeeze test at the end of 60 minutes after block.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-05-04
• Study Completion: 2018-10-12
• Last Update Posted: 2023-03-22

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. ASA I – II 2) All surgeries requiring FICB for analgesia.

Exclusion Criteria

1. Patient refusal 2) Lower limb fracture 3) Patients allergic to local anaesthetics 4) Patients with coagulopathy 5) Patients with neurological deficits and neuromuscular diseases 6) Patients with infection at the site of injection 7) Pregnant patients.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
2) quadriceps muscle strenght	outcome will be assessed every 15 minutes for one hour
Incidence of 3 nerves block -	outcome will be assessed every 15 minutes for one hour
1) sensory Blockade	outcome will be assessed every 15 minutes for one hour
3) adductor squeeze test	outcome will be assessed every 15 minutes for one hour

Secondary Outcome Measures

Name	Time	Method
1) Time of onset of block of all three nerves	2) Distance between Supra- inguinal and Infra – inguinal injection points from inguinal ligament

Trial Locations

Locations (1)

Mahatma Gandhi Medical College and Research Institute; 🇮🇳 Pondicherry, PONDICHERRY, India

Mahatma Gandhi Medical College and Research Institute

🇮🇳Pondicherry, PONDICHERRY, India

Dr Abhimanyu Singh

Principal investigator

9999636613

dr.anniej@yahoo.com