A comparison of two separate techniques of ultrasound guided fascial plane blocks in patients with hip fractures for ease of positioning while giving spinal block for the surgery and also to provide post operative pain relief.

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2022/11/047773
• Lead Sponsor: Maulana Azad Medical College and associated Lok Nayak Hospital

Brief Summary

We are comparing two ultrasound guided musculofascial block techniques- Pericapsular Nerve Group Block and Suprainguinal Fascia Iliaca Block to facilitate positioning for subarachnoid block and for postoperative analgesia in patients with intertrochanteric femur fracture for proximal femur nailing in adult patients between the age group of 18 to 80 years of age. We will be using standard subarachnoid block for patients undergoing elective surgeries. The aim of the study is to compare the two blocks with regards to ease of spinal positioning for subarachnoid block, decrease in pain scores after the blocks and postoperatively for 24 hrs and requirement of additional analgesics postoperatively for 24 hrs. We will be recruiting a total of 30 patients, and they will be randomized into two groups- Group P (Pericapsular Nerve Group Block) and Group S (Suprainguinal Fascia Iliaca Block). The ease of spinal positioning (EOSP) score will be assessed before and 30 mins after the blocks, pain will be assessed using the Numeric Rating Scale pre block, 30 mins after the block, 2hrs, 4hrs, 8hrs,12hrs and 24hrs after the block. Time to first requirement of analgesics postoperatively and total requirement of additional postoperative analgesia will be noted.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-12
• Last Update Posted: 2022-11-30

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• 1.Adults patient of age 18-80 years scheduled to undergo elective unilateral intertrochanteric femur fracture surgeries under subarachnoid block.
• 2.American Society of Anesthesiologists (ASA) physical status I, II and III.
• 3.Patients with preoperative Numerica Rating Scale (NRS)>4 at rest and on passive 15 degrees limb lifting.

Exclusion Criteria

• 1.Unwilling to participate or lacked the capacity to give consent.
• 2.Coagulopathy 3.Infection at the site of injection.
• 4.Allergy to local anesthetics.
• 5.On opioid for chronic pain.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Ease of spinal positioning (EOSP) score 30 mins after the block.	12 months

Secondary Outcome Measures

Name	Time	Method
Numerica Rating Scale (NRS) scores pre block, 30 mins after the block and postoperatively for 24 hours.	12 months
Requirement of additional postoperative analgesics in 24hours.	12 months

Trial Locations

Locations (1)

Lok Nayak Hospital; 🇮🇳 Central, DELHI, India

Lok Nayak Hospital

🇮🇳Central, DELHI, India

Sonam Lhamu Monpa

Principal investigator

9971406571

sonamlhamu017@gmail.com