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To study the effect of blocking lower limb nerves (arising from lumbar and sacral plexus) with single point puncture in the supine position for pain relief after lower limb orthopaedic surgery and its comparison with the most commonly used technique (lumbar epidural) for the same.

Single point dual injection anterior approach for blocking the branches of lumbar and sacral plexus compared with lumbar epidural for postoperative analgesia in patients undergoing lower limb orthopaedic surgeries: A prospective randomized controlled trial.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/10/046908
Enrollment
134
Registered
2022-10-31
Start date
Unknown
Completion date
Unknown
Last updated
2024-03-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical Health Condition 2: S829- Unspecified fracture of lower leg

Interventions

Intervention1: Combined block for branches of Lumber and Sacral Plexus: After conducting surgery under subarachnoid block (SAB), at two segment regression in PACU, USG guided block for branches of lum

Sponsors

AIIMS Jodhpur
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Adult patients aged more than 18 years, 2. Belonging to American Society of Anesthesiologists Physical Status 1-3, 3. Belonging to either sex, 4. Scheduled for unilateral lower limb orthopaedic surgery

Exclusion criteria

Exclusion criteria: 1. Patient who refused to participate, 2. Patients who require activation of lumber epidural intraoperatively. 3. Pregnant female, 4. Patient with baseline cognitive deficits sufficient to make objective pain assessment unreliable, 5. Patients with coagulopathy, liver and renal dysfunction, 6. Preoperative neurological deficits and allergy to amide local anaesthetics.

Design outcomes

Primary

MeasureTime frame
postoperative analgesia as assessed by 11-point numeric rating scale (NRS) at predefined time points (immediately after surgery, at 1-hour, 3-hours, 6-hours, 12-hours, 18-hours and at 24-hours)Timepoint: First 24 postoperative hours—

Secondary

MeasureTime frame
1)sensory block as assessed using pin prick sensation at predefined time points (immediately after surgery, at 1-hour, 3-hours, 6-hours, 12-hours, 18-hours and at 24-hours). 2)motor block as assessed using Bromage scale at predefined time points (immediately after surgery, at 1-hour, 3-hours, 6-hours, 12-hours, 18-hours and at 24-hours). 3)requirement of rescue analgesia during the observation period. 4)To compare peri-procedural complications. 5)To compare patient satisfaction. Timepoint: First 24 postoperative hours—

Countries

India

Contacts

Public ContactSimran Kaur

All India Institute of Medical Sciences, Jodhpur

drmsadik@gmail.com9414849733

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026