Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Ultrasound guided pericapsular nerve group block: The regional block will be performed with the patient in the supine position. Using strict aseptic precautions a curvilinear low-freque
Sponsors
Safdarjung hospital and Vardhman Mahavir Medical CollegeNew DelhiIndia
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients with American Society of Anaesthesiologist (ASA) physical status grade I & II scheduled for surgery for hip fracture under subarachnoid block.
Exclusion criteria
Exclusion criteria: 1.Patients who can sit comfortably 2. Having contraindication for subarachnoid bock 3.Known allergy to local anesthetic drugs 4.Pre-existing peripheral nerve neuropathies 5.Having multiple fractures 6.Receiving chronic analgesic therapy 7.With infection over injection site 8. Hypotension 9. Impaired cognition.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS) score is a standard 10 cm line with 0 corresponding to no pain and 10 designating the worst possible pain. VAS will be assessed and noted before the administration of block at rest and at dynamic hip movement of affected limb by straight leg raise of 15 degrees above table . VAS after the administration of the block will be assessed at rest at 5, 10, 20 and 30 minutes and then during positioning for subarachnoid block 30 minutes after the block.Timepoint: 1.Before the administration of Peripheral nerve block at rest and dynamic hip movement. 2.After the administration of Peripheral nerve block at rest 3.After the administration of Peripheral nerve block at 5 min 4.After the administration of Peripheral nerve block at 10 min. 5.After the administration of Peripheral nerve block at 20 min. 6.After the administration of Peripheral nerve block at 30 min. 7.While positioning for subarachnoid block. | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of patient position for subarachnoid block as assessed by anesthesiologist performing subarachnoid block will be evaluated.Timepoint: While performing subarachnoid block.;Time taken for performing subarachnoid block measured from the start of positioning maneuvers to the spinal needle removal.Timepoint: While performing subarachnoid block.;Total amount of fentanyl required for decreasing VAS to less than 4 during positioning for subarachnoid block will be noted.Timepoint: While positioning for subarachnoid block.;Complications such as hypotension (a decrease of mean blood pressure 20% from preanaesthetic baseline values), bradycardia (HR 50 beats/min), hypoventilation (breathing rate 8 breaths/min), nausea and vomiting and signs of LA toxicity will be noted and treated.After surgery, all patients will be transferred to post anesthesia care unit, and hemodynamics will be monitored.Timepoint: Post surgery observation.;Heart rate, non invasive blood pressure( systolic ,diastolic, Mean), respiratory rate and SpO2 will be recorded at 5,10 and 20 , 30 minutes after performing the block procedure and at positioning for subarachnoid block.Timepoint: Before block;5,10,20,30 min after block; While positioning for subarachnoid block;Patient satisfaction score will be noted after 24 hours of performance of analgesic blockTimepoint: 24 hours after the block. | — |
Countries
India
Contacts
Public ContactAnimesh Tah
Safdarjung Hospital and Vardhman Mahavir Medical College
Outcome results
None listed