Health Condition 1: null- Patients posted for lower limb surgeries under general anaesthesia, spinal anaesthesia or combined spinal epidural anaesthesia.
Conditions
Interventions
Intervention1: NIL: NIL
Control Intervention1: NIL: NIL
Sponsors
Intramural Funding by Research Cell
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age 18 yrs and above. 2) Patients presenting with fracture neck of femur, inter-trochanteric fracture, fracture shaft femur or other above knee orthopaedic surgeries. 3) Arthritic patients posted for major lower limb surgeries viz. total hip replacement (THR) or total knee replacement (TKR). 4) Patients undergoing any above knee surgical procedure like skin graft from thigh, biopsy from shaft of femur, above knee amputation etc.
Exclusion criteria
Exclusion criteria: 1) Patient refusal. 2) Previous femoral bypass surgery. 3) Coagulation disorders (international normalised ratio or activated partial thromboplastin time ratio > 2.5, platelet count 4) Allergy to local anaesthetic. 5) Infection at the injection site.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Pain at rest or on movement in first 24 hours after surgery, assessed by Visual Analogue Score (VAS) of four (4) or less.Timepoint: 24 HOURS | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Neurological injury to femoral nerve after placement of FIC block. 2) Numbness in operated and non operated limb in first 24 hours after surgery. 3) Degree of knee flexion & extension exercise in first 72 hours after surgery. 4) Time to first ambulation of patient within 72 hours of surgery. 5) Incidence of postoperative nausea and vomiting (PONV). Timepoint: 72 HOURS | — |
Countries
India
Contacts
Public ContactDr Nikhil Kothari
All India Institute of Medical Sciences Jodhpur
Outcome results
None listed