Efficacy of femoral nerve block and intravenous fentanyl for ease of positioning during subarachnoid block for fracture neck femur surgeries A randomized comparative study
- Conditions
- Diseases of the musculoskeletal system and connective tissue,
- Registration Number
- CTRI/2025/04/085387
- Lead Sponsor
- B J Medical College and Civil Hospital Ahmedabad Government of Gujarat
- Brief Summary
Fracture femur is common orthopaedic presentation following trauma. It is extremely painful bone injury because periosteum has the lowest pain threshold of the deep somatic structures. The definitive management is to fix the fracture and spinal anaesthesia is preferred. The only concern is pain which may results in improper position for Subarachnoid block.
Amongst analgesics, opioids are the gold standard out of which Fentanyl is preferred as it is more potent with rapid onset and short duration of action with less sedation, respiratory depression, nausea and histamine mediated itching as compared to other opioids.
Regional anesthetic techniques have the theoretical advantage of avoiding the systemic effects of opioid analgesia, while providing analgesic that targets pain both at rest (static) and on movement (dynamic).Various peripheral nerve blocks have been used increasingly. Femoral nerve block is popular because it is safe and easy to perform. Being superficial nerve, landmarks are easily identifiable
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 60
Age 18-75 years, Either gender, ASA Grade I, II, III, Unilateral fracture neck femur surgery under spinal anaesthesia, Written informed consent from patient, Patient able to understand VAS regarding assessment of pain.
Patient refusal, ASA Grade IV, V, Local infection at the site of lumbar puncture, Allergy to local anaesthetic agent or fentanyl, Patients having multiple fracture, Patients with neuromuscular disorder, coagulation disorder, H/o drug or alcohol abuse.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare efficacy of analgesia by assessing visual analogue score during positioning for subarachnoid block. Before analgesia,10 min after analgesia,During positioning
- Secondary Outcome Measures
Name Time Method To observe and compare hemodynamic changes, To observe any complication, in perioperative period
Trial Locations
- Locations (1)
B.J. Medical College and Civil Hospital, Ahmedabad
🇮🇳Ahmadabad, GUJARAT, India
B.J. Medical College and Civil Hospital, Ahmedabad🇮🇳Ahmadabad, GUJARAT, IndiaDR PRANALI RAKESHBHAI GOHILPrincipal investigator9429857555pranaligohil@gmail.com