Effectiveness of Erector spinae plane block using Ultrasound machine for providing post-operative pain relief in Hip joint and proximal femur surgeries.

Completed

• Registration Number: CTRI/2021/04/032741
• Lead Sponsor: Hetal Kotecha

Brief Summary

- Aim of the study is to know efficacy of ultrasound guided erector spinae plane block for post-operative pain relief in hip joint and proximal femur surgeries.

- Patients suitable for study as per inclusion criteria, admitted in SSG Hospital will be selected.

- Demographic details, History, Investigations will be assessed and general examination, systemic examination will be done

- Patients will be randomly divided into two groups after surgery being done under spinal anaesthesia. 3 ml of Hyperbaric bupivacaine 0.5% will be given in spinal anaesthesia.

- Case group will be given ultrasound guided lumbar erector spinae plane block 4-6 cm lateral to spinous process and superficial to transverse process of L4 vertebra in the erector spinae plane. Total 30 cc local anaesthetic drug- 0.25% Bupivacaine will be injected using convex ultrasound transducer probe using out plane approach.

- Control group will be given injection tramadol 1.5 mg/kg intravenously in 100 ml Normal saline as infusion.

- Patients will be monitored for duration of analgesia using VAS score, Rescue analgesics required in 24 hours, Vital parameters and complications associated with block.

- VAS (Visual Analogue Scale) score will be assessed every 1 hourly for first 6 hours and every 6 hourly for next 24 hours.

- Rescue analgesia will be given in the form of Injection Paracetamol 15 mg/kg intravenously at VAS score>4.

Detailed Description

Not available

Study Timeline

• Study Completion: 2021-01-10
• Study Start: 2021-04-15
• Last Update Posted: 2022-07-23

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

ASA grading- I,II,III Patient posted for hip joint and proximal femur surgeries Patient able to give verbal and informed consent Patient able to understand VAS regarding assessment of Pain.

Exclusion Criteria

Patient not willing Allergy to local anesthetics Contraindication of spinal, regional anaesthesia Patient with coagulopathy, local infection Patient with pre-existing neurological deficits Patient with history of drug or alcohol abuse, psychiatric illness Patient with pelvic fracture.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of Analgesia and	Pain will be assessed using VAS (Visual Analogue Scale) score every 1 hour for first 6 hours and every 6 hours for next 24 hours | Rescue analgesia will be given in the form of Injection Paracetamol 15 mg/kg iv at VAS score more than 4
No of Rescue analgesic requirement within 24 hours	Pain will be assessed using VAS (Visual Analogue Scale) score every 1 hour for first 6 hours and every 6 hours for next 24 hours | Rescue analgesia will be given in the form of Injection Paracetamol 15 mg/kg iv at VAS score more than 4

Secondary Outcome Measures

Name	Time	Method
Vital parameters and	Complications associated with block

Trial Locations

Locations (1)

Government medical college and SSG Hospital, Vadodara; 🇮🇳 Vadodara, GUJARAT, India

Government medical college and SSG Hospital, Vadodara

🇮🇳Vadodara, GUJARAT, India

Hetal Kotecha

Principal investigator

6352816828

hetalkotecha96@gmail.com