Comparative Evaluation Of Ultrasound Guided Supra Inguinal Versus Infra Inguinal Approach To Fascia Iliaca Compartment Block – A Randomised Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- 2) quadriceps muscle strenght
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA I – II 2) All surgeries requiring FICB for analgesia.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
2) quadriceps muscle strenght
Time Frame: outcome will be assessed every 15 minutes for one hour
Incidence of 3 nerves block -
Time Frame: outcome will be assessed every 15 minutes for one hour
1) sensory Blockade
Time Frame: outcome will be assessed every 15 minutes for one hour
3) adductor squeeze test
Time Frame: outcome will be assessed every 15 minutes for one hour
Secondary Outcomes
- 1) Time of onset of block of all three nerves(2) Distance between Supra- inguinal and Infra – inguinal injection points from inguinal ligament)