Comparison of two techniques of Pain relief - Supra Inguinal Fascia Iliaca Block versus Femoral Nerve Block under Ultrasound guidance - for positioning(sitting position) for Spinal Anaesthesia in patients with Fracture Neck of Femur (Thigh bone) Surgery

Not Applicable

Conditions: Health Condition 1: M844- Pathological fracture, not elsewhere classified

Registration Number: CTRI/2023/10/058655

Lead Sponsor: Dr Nisheed Joseph

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

1.Age 18 and above

2.Patients with a fracture neck femur, undergoing surgery under the subarachnoid block,

3.ASA physical status I and II

Exclusion Criteria

1.Patient refusal

2.Known hypersensitivity to local anesthetic agents of the amide type

3.Anticoagulant therapy (warfarin/heparin infusion).

4.Clotting disorders [international normalized ratio (INR) or activated partial thromboplastin time ratio (APTR)] more than 1.5, Platelets less than 80,000/microL

5.Previous femoral vascular surgery

6.Hepatic Impairment

7.Debilitated or acutely ill patients

8.Glasgow Coma Scale (GCS) less than 12/15

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To observe the effectiveness of Supra Inguinal Fascia Iliaca Block and Femoral Nerve Block under Ultrasound guidance as analgesia before Central neuraxial block in the sitting position for Fracture Neck of Femur Surgery. The following objectives are set. <br/ ><br>To compare the time required for the onset of sensory block after both techniques.Timepoint: The patient will be assessed for pain with Visual Analogue Scale at 0, 2, 5, 10, 15, 20min, and after giving a sitting position and the time will be noted with Zero being the time of giving block.

Secondary Outcome Measures

Name	Time	Method
1.To identify the dermatomal coverage of the block (femoral, obturator, and lateral femoral cutaneous nerve) after both techniques <br/ ><br>2.To assess the adequacy of patient positioning for administering central neuraxial block after both techniques.Timepoint: The patient will be assessed for pain with Visual Analogue Scale at 0, 2, 5, 10, 15, 20min, and after giving a sitting position and the time will be noted with Zero being the time of giving block.