Health Condition 1: O- Medical and Surgical Health Condition 2: M848- Other disorders of continuity of bone
Conditions
Interventions
Intervention1: ultrasound- guided supra-inguinal fascia iliaca block: Group I: S-FICB- ultrasound- guided supra-inguinal fascia iliaca block with 40ml of 0.25% Ropivacaine + 4mg (1ml) dexamethasone on
Sponsors
Dr Rajendra Kumar Sahoo
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 40 years and above of American Society of Anesthesiologists physical status (ASA) I-III with hip fracture scheduled for surgery under spinal anesthesia.
Exclusion criteria
Exclusion criteria: 1.Patient refusal to participate 2.Contraindication to Spinal anesthesia or peripheral nerve blocks 3.Patients with significant cognitive impairment 4.Patients on opioids for chronic pain
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Visual analogue score (VAS) at rest and on passive 15° limb lifting, 30 min after the block. - Ease of spinal positioning (EOSP). Timepoint: -Visual analogue score (VAS) at rest and on passive 15° limb lifting, 30 min after the block and it will be noted once and then patient will be taken inside operation theatre for spinal anesthesia. - Ease of spinal positioning (EOSP) score while positioning for spinal anesthesia will be noted once. | — |
Secondary
| Measure | Time frame |
|---|---|
| -Visual analogue score (VAS) at rest and on passive 15° limb lifting at 3, 6, 12 and 24 hours postoperatively. -Time to first rescue analgesic (tramadol) request. -Total opioid consumption (in mg) in first 24 hours. -Patient´s satisfaction. -Quadriceps strength at 6, 12 and 24 hours. Timepoint: up to 24 hours in the post operative period. | — |
Countries
India
Contacts
Public ContactDr Rajendra kumar Sahoo
Kalinga Institute Of Medical Sciences
Outcome results
None listed