None listed
Conditions
Brief summary
Osteoporosis is a major public health problem, especially seen frequently in the elderly population, and is associated with hip fractures. Spinal and general anesthesia can be preferred in the anesthetic management of surgical treatment of hip fractures. Fascia iliaca compartment block (FICB) is recommended as part of multimodal analgesia. During FICB, the obturator nerve, femoral nerve and lateral femoral cutaneous nerve are targeted. Since local anesthetic spread does not always ensure blockade of obturator nerve, Routine obturator nerve block application in combination of FICB may be preferred by the anesthesiologist. This study aimed to investigate the effectiveness of the routine use of ONB and FICB combination on pain during positioning compared to the use of FICB alone.
Interventions
Participants in this trial will be adults who have suffered a hip fracture and will undergo orthopedic surgery under spinal anesthesia(SA). Positioning for SA is a painful procedure. Usually, it is done after regional anesthesia.
Fascia iliaca compartment block(FICB) recommended to provide analgesia for this patient group. Obturator nerve block(ONB) can be added seperately to increase the effectivenes.
In our instutution, these patients recieve FICB with or without ONB based on anesthesia prov
Participants in this trial will be adults who have suffered a hip fracture and will undergo orthopedic surgery under spinal anesthesia(SA). Positioning for SA is a painful procedure. Usually, it is done after regional anesthesia. Fascia iliaca compartment block(FICB) recommended to provide analgesia for this patient group. Obturator nerve block(ONB) can be added seperately to increase the effectivenes. In our instutution, these patients recieve FICB with or without ONB based on anesthesia provider preferences regardless of study participation. We will collect patients preoperative and intraoperative data. After data collection is completed, the patients will be divided in two group, Arm 1 and Arm 2 for statistical analysis.. This division will be performed based on the regional anesthesia technique used for position pain. In Arm 1, there will be patients who underwent FICB. In Arm 2 there will be patients who underwent FICB with ONB.
Sponsors
Temel Guner, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients aged 55 and over who are planned to undergo surgery under spinal anesthesia due to hip fracture Patients who have planned FIKB or FIKB and ONB for analgesia during positioning
Exclusion criteria
Any contraindications to the application of regional anesthesia techniques. Presence of infection in the application area of any regional anesthesia techniques History of previous operations that may result in changes in the fascial plan anatomy in the relevant application area Patients who are planned to operate under general anesthesia and have planned FIKB and ONB or FIKB alone for preoperative and postoperative analgesia.
Outcome results
None listed