Nerve Block as a Technique of Anaesthesia For Hip Surgeries as an Alternative to Spinal/General Anaesthesia

Not yet recruiting

Conditions: Patients posted for Hip Surgeries
Periprosthetic fracture around internal prosthetic hip joint,

Brief Summary: Hip surgeries are routinely done under General or Spinal Anesthesia, But in High Risk Geriatric patients these techniques carry more risk as they have multiple medical issues and are often on medications that may pose complications in the perioperative periods. Hence Peripheral Nerve blockade using Lumbar and Sacral plexus block produces Complete anaesthesia for the ipsilateral lower limb with stable hemodynamics and excellent postoperative analgesia. In this Prospective Observational Study, We aim to use Lumbar and Sacral plexus block as a sole anaesthetic technique for Hip surgeries to avoid complications associated with the conventional techniques. After taking written informed consent , patients are taken in the perioperative area with all the standard monitors attached and sedated mildly with Inj Midalozalam 1-2mg , positioned on the lateral decubitus side. Ultrasound and Peripheral Nerve stimulator guided Lumbar and Sacral Plexus block will be performed on the limb that needs to be operated . Time taken for the onset of sensory and motor block , duration of the block, time taken for postoperative mobilisation , complications associated with the procedure will be noted. Incomplete motor block cases will be converted to General or Spinal anaesthesia.

Recruitment & Eligibility

Inclusion Criteria

All patients posted for Elective and Emergency Hip Surgeries.

Exclusion Criteria

Patient refusal, Coagulopathy, Local site infections, Age less than 18years, Bilateral Hip Surgeries, Local anesthestics allergy.

Primary Outcome Measures

Name	Time	Method
To achieve complete sensory & motor blockade for the surgery using Lumbar & Sacral plexus block	Upto 24 hours

Secondary Outcome Measures

Name	Time	Method
Quantify the conversion rate from lumbar & sacral plexus to conventional techniques, To know the time taken for the onset of sensory and motor block, to know the duration of motor block , to analyse various outcome like postoperative pain, postoperative cognitive dysfunction, opioid consumption , time taken for postoperative mobilisation, complications associated with the procedure	Upto 24 hours

Locations (1): AIG Hospitals
🇮🇳
Hyderabad, TELANGANA, India
AIG Hospitals
🇮🇳Hyderabad, TELANGANA, India
Dr Varsha Peesara
Principal investigator
8308346829
varshapeesara85@gmail.com