Comparative study of ultra sound(USG) guided fascia iliaca block and quadratus lumborum block for patient positioning prior to spinal anaesthesia in proximal femur fracture surgeries: A prospective randomised comparative study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- To assess the analgesic efficacy of pre operative USG-guided fascia iliaca block & Quadratus Lumborum block for patient positioning prior to spinal anaesthesia in proximal femur fracture surgeries
研究概览
简要总结
Proximal femur fracture surgeries are painful in preoperative period and is associated with morbidity especially in the elderly, due to underlying osteoporosis and presence of other coexisting diseases. Subarachnoid block is the choice of anaesthesia for fracture femur surgeries, but pain can interfere with optimal positioning for administration of spinal anaesthesia. Current methods of providing pre-and post-operative analgesia include non-steroidal anti-inflammatory drugs (NSAIDS), oral or parenteral opioids, and regional anaesthesia techniques.Hence, present study is designed to compare the efficacy of Fascia iliaca block with quadratus lumborum block for positioning and for post-operative analgesia in patients with proximal femur fractures. Aim is to assess the analgesic efficacy of pre operative ultra sound( USG)guided fascia iliaca block and Quadratus Lumborum block for patient positioning prior to spinal anaesthesia in proximal femur fracture surgeries. After approval from institution ethical committee and written informed consent from all patients, this prospective randomised comparative study will be done on 50 patients with normal BMI aged 18-80years of either gender with American Society of Anaesthesiologists (ASA) I, II and III status undergoing proximal femur fracture surgeries under spinal anaesthesia. Simple randomisation will be done by computer generated random numbers and group allocation will be done by sealed envelope technique. Group A will receive USG - guided Fascia iliaca block using 25ml of injection 0.25 % of bupivacaine on ipsilateral side. Group B receive USG - guided Quadratus lumborum block using 25ml of injection 0.25% of bupivacaine on ipsilateral side. Hemodynamics (heart rate, blood pressure, SpO2) will be continuously monitored and recorded every 5minutes till the end of surgery. Post operative pain scores and analgesic consumption will be recorded for first 24hours. IV Paracetamol 1gm will be used as rescue analgesic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with normal BMI aged 18-80years of either gender with American Society of Anaesthesiologists (ASA) I, IIand III status undergoing proximal femur fracture surgeries under spinal anaesthesia.
排除标准
- •Patient who could sit comfortably Patient refusing to participate in the study If drug fail to act ASA IV Local anaesthetic allergy Coagulopathy Infection at the site of block, Neuroâ€psychiatric disorders Pregnant or lactating mothers.
- •Peripheral neuropathy Poly trauma patients Femoral graft in the affected limb Patients with head injury and peripheral vascular disease.
结局指标
主要结局
To assess the analgesic efficacy of pre operative USG-guided fascia iliaca block & Quadratus Lumborum block for patient positioning prior to spinal anaesthesia in proximal femur fracture surgeries
时间窗: VAS score 20min after block & during positioning
次要结局
- To compare intraoperative & postoperative analgesic requirement for 24hours, duration of postoperative analgesia, time for mobility in both the groups(Comparison of haemodynamic parameters)