Health Condition 1: null- Patients with fracture of femur undergoing surgery who comes under ASA physical status I and II
Conditions
Interventions
Intervention1: Femoral nerve block (FNB): Femoral nerve block was given with 2% Lignocaine 15 ml + distilled water 5 ml + adrenaline (1:200000) using nerve locator in femoral triangle before giving p
Sponsors
Medical College and SSGHospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA physical status I,II and III 2. Patients posted for fracture surgery under subarachnoid block and likely to have pain while positioning. 3. Patients able to give written and informed consent. 4. Patients able to understand VAS score regarding assessment of pain
Exclusion criteria
Exclusion criteria: 1. Patients with contraindications to subarachnoid block. 2. Patients with allergy to amide local anaesthetics or Fentanyl. 3. Patients with history of drug or alcohol abuse. 4. Morbid obesity (BMI >29 kg/m2). 5. Patients with other co-morbid conditions like DM, HT, IHD, bronchial asthma, COPD, neurological or musculoskeletal diseases. 6. Patients with multiple fractures. 7. Patients refusal and unable to understand VAS score. 8. Use of analgesics 8 hours before the performance of subarachnoid block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the analgesic effect provided by femoral nerve block and intravenous fentanyl by assessing 1. Visual Analogue Scale (VAS)Score. 2. Time taken to achieve subarachnoid block. 3. Quality of positioning. 4. Patients acceptance. 5. Number of additional doses of fentanyl during positioning for subarachnoid block.Timepoint: To compare the analgesic effect provided by femoral nerve block and intravenous fentanyl by assessing 1. Visual Analogue Scale (VAS)Score - to be seen before analgesia, 10min after analgesia and during positioning. 2. Time taken to achieve subarachnoid block. 3. Quality of positioning during positioning for sub arachnoid block. 4. Patients acceptance during positioning for sub arachnoid block. 5. Number of additional doses of fentanyl during positioning for subarachnoid block. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sedation score 2. Hemodynamic changes like heart rate, systolic blood pressure and diastolic blood pressure. 3. Complications, if any.Timepoint: Sedation score following subarachnoid block and after 30 minutes. Hemodynamic changes before analgesia, 10 minutes after analgesia, during positioning and 1 min, 3min, 5 min, 10 min, 15 min, 30 min, 45 min, 60 min, 75 min and 90 min after subarachnoid block Complications postoperatively. | — |
Countries
India
Contacts
Public ContactDrAditi A Dhimar
Medical College and S.S.G.Hospital, VadodaraÂ
Outcome results
None listed