Ultrasound-Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy: a Randomized Double-Blind Study
Overview
- Phase
- Phase 4
- Intervention
- ultrasound guided fascia iliaca compartment block ( bupivacaine 0.25% )
- Conditions
- Fascia Iliaca Compartmental Block
- Sponsor
- Port Said University hospital
- Enrollment
- 84
- Locations
- 1
- Primary Endpoint
- pain score postoperative
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study aims to assess the efficiency of Fascia Iliaca Compartmental Block in patients undergoing femoral thrombectomy versus spinal anesthesia.
Detailed Description
Anesthesia for lower limb revascularization consists of general anesthesia, neuraxial anesthesia and peripheral regional block. Fascia iliaca compartment block (FICB) is an anterior approach to the lumbar plexus and it blocks femoral nerve, LFCN, and limited numbers of nearby nerves such as ilioinguinal, genitor femoral.
Investigators
Adel Ali Hassan
Lecturer of anaesthesiai ntensivecare and pain managment
Port Said University hospital
Eligibility Criteria
Inclusion Criteria
- •scheduled femoral thrombectomy,
- •both sexes,
- •aged between 40-65 years,
- •American Society of Anesthesiologists (ASA) II-III. Patients Criteria:
Exclusion Criteria
- •ASA status Grade IV, patient
- •refused to participate,
- •patients with contraindications to neuraxial anesthesia, such as systemic infection or history of allergy to anesthetic drugs
- •infection at the site of injection.
Arms & Interventions
Fascia iliaca group
The ultrasound-guided fascia iliaca compartment block (FICB) group included 42 patients who had a fascia iliaca compartment block by bupivacaine 0.25% in a total volume of 40 ml.
Intervention: ultrasound guided fascia iliaca compartment block ( bupivacaine 0.25% )
spinal anesthesia
spinal anesthesia included 42 patients had spinal anesthesia with 2.5 ml bupivacaine 0.5%.
Intervention: Spinal Anesthesia (bupivacaine)
Outcomes
Primary Outcomes
pain score postoperative
Time Frame: 24 hours
visual analogue score (VAS), with a scale from 0 to 10