Comparison Between Iliopsoas Nerve Block and Femoral Nerve Block in Hip Fracture Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Degree of pain
研究概览
简要总结
This study aims to compare iliopsoas nerve Block (IPB) to femoral nerve block (FNB) regarding pain control, patient satisfaction, and early ambulation in patients undergoing hip fracture surgeries
详细描述
Hip fractures are among the most frequent fractures seen in the emergency department and orthopedic trauma teams. The terms hip fracture and neck of femur fracture are used synonymously. Both terms describe a proximal femur fracture between the femoral head and 5 cm distal to the lesser trochanter.
Iliopsoas nerve Block (IPB) is a promising motor-sparing analgesic technique that selectively targets the sensory branches of the hip joint originating from the femoral nerve and accessory obturator nerve, sparing the motor supply of quadriceps muscles.
A femoral nerve block (FNB) is a simple nerve block that can be performed easily without or under ultrasound guidance. Under ultrasound guidance, the femoral artery and femoral nerve were identified clearly, and a needle was inserted using an in-plane approach from the lateral to the medial direction. Once the needle tip's position was confirmed, 10 ml of 0.5% bupivacaine was injected adjacent to the femoral nerve.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 18 to 65 years.
- •Both sexes.
- •American Society of Anesthesiologists (ASA) physical status I and II.
- •Patients who are scheduled for elective surgical correction of hip fracture either through open fracture internal fixation (ORIF), partial hip arthroplasty or total hip arthroplasty.
排除标准
- •Refusal to participate.
- •Coagulopathy.
- •Patients with a history of drug allergies to study drugs.
- •Inability to cooperate.
研究组 & 干预措施
Iliopsoas nerve block group
Patients will receive an Iliopsoas nerve block using 10 ml of bupivacaine 0.5%.
干预措施: Iliopsoas nerve block (Drug)
Femoral nerve block group
Patients will receive femoral nerve block using 10 ml of bupivacaine 0.5%.
干预措施: Femoral nerve block (Drug)
结局指标
主要结局
Degree of pain
时间窗: 24 hours postoperatively
Each patient will be instructed about postoperative pain assessment with the numeric rating scale (NRS) score. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable"). NRS will be assessed upon arrival at the post-anesthesia care unit (PACU) and at 2, 4, 6,12, 24 post-surgery.
次要结局
- Total opioids consumption(24 hours postoperatively)
- Assessment of quadriceps strength(24 hours postoperatively)
- Time of ambulation(24 hours postoperatively)
- Patients' satisfaction(24 hours postoperatively)
- Incidence of complications(24 hours postoperatively)
研究者
Hazem Khaled Abdelrazek Saeed
Assistant Lecturer of Anesthesia, Intensive Care and Pain Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ain Shams University