Health Condition 1: M84- Disorder of continuity of bone Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with age above 18 years undergoing surgery for hip fracture under sub-arachnoid blockade 2) BMI:18-30 kg/m2 3) ASA physical status: I-III
Exclusion criteria
Exclusion criteria: 1) Allergy to local anaesthestics drugs. 2) Any contraindication to neuraxial blockade like local infection at site of injection, raised intacranial pressure, spine trauma. 3) Prothrombin Time INR greater than 1.5,Platelet count less than 75,000/cmm 4) Patient refusal to FICB/ neuraxial blockade. 5) Previous surgery in suprainguinal region. 6) Patient unable to understand the procedure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the median effective dose of 0.25% ropivacaine for suprainguinal fascia iliaca block for optimal positioning for neuraxial blockade in 50% of the patient (EV50) & 95% of patient (EV95) posted for hip fracture surgery.Timepoint: Block will be considered successful if we can achieve op-timal positioning for subarachnoid blockade within 30 minutes of blockade without needing to supplement with intravenous narcotics, supplemental block | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the association of drug volume with: 1. The time taken to achieve adequate analgesia for optimal positioning 2. Time to first rescue analgesia after surgery 3. 24 hours postoperative analgesia requirement 4. Complication rate Timepoint: 24 hours | — |
Countries
India
Contacts
All India Institute of Medical Science New Delhi