COMPARISON OF ULTRASOUND GUIDED FEMORAL NERVE BLOCK AND INTRAVENOUS FENTANYL FOR ANALGESIA IN PATIENTS WITH FRACTURE OF FEMUR FOR COMBINED SPINAL EPIDURAL ANAESTHESIA POSITIONING – A RANDOMIZED CONTROLLED STUDY
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- To compare the pain using VAS score post femoral nerve block and post intravenous fentanyl administration for positioning patients with fracture femur for combined spinal epidural anaesthesia.
研究概览
简要总结
In femur fractures the treatment available is surgical correction. for which central neuraxial blockade is the preferred anaesthetic option in most cases. due to severe pain it is difficult to position the patient for central neuraxial blockade.
there are several modalities available to alleviate pain in these patients such as parenteral drugs like NSAIDS, opioids, etc. apart from parenteral drugs several modalities like nerve blocks can also give an adequate analgesia. here we intended to compare intravenous Fentanyl at a dose of 1mcg/kg vs Ultrasound guided femoral nerve block with 20 ml of O.25% Bupivacaine 15 minutes prior to positioning for central neuraxial blockade.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Not Applicable
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 fracture of femur including fracture shaft of femur and fractur neck of femur.
- •Patients of age between 18 to 80 years under ASA I and II.
排除标准
- •Patients with head injury and poor GCS
- •Patients with pelvic fracture and bilateral femur fracture
- •Patients with known allergy for local anaesthetics
- •Patients with bleeding tendencies or raised INR.
结局指标
主要结局
To compare the pain using VAS score post femoral nerve block and post intravenous fentanyl administration for positioning patients with fracture femur for combined spinal epidural anaesthesia.
时间窗: Before intervention, post intervention at 5 minutes interval for 15 minutes
次要结局
- to compare the hemodynamics, to compare the time taken to position the patients for CSE, time taken to perform the CSE.(during the procedure of CSE)