Health Condition 1: M169- Osteoarthritis of hip, unspecified
Conditions
Interventions
Intervention1: Group I receiving ilio psoas plane block: patients will receive the USG guided ilio psoas plane block. After all aseptic preparation a high frequency linear USG probe will be placed in
Sponsors
All India Institute of Medical Sciences Patna
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled for elective Hip resurfacing arthroplasty ASA I and II including both the sexes Age group 25 to 75 years
Exclusion criteria
Exclusion criteria: ASA III and IV Patient refusal to take part in the study Morbid obesity BMI greater equal to 40 History of focal neurological deficit History of sensory or motor disorders of limb to be operated History of allergy to local anaesthetics clonidine History of regular opioid use Infection at puncture site for both approaches of block Inability to comprehend NRS pain assessment scale Inability to understand the use of PCA device
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of quadriceps motor block defined as paresis and paralysis of knee extension at hours postoperatively. Assessment of quadriceps femoris muscle strength: For motor block assessment the patient will be in supine position and the patient knee will be fully flexed and the patient will be asked to extend it. Muscle power at 6 12 24 hours Knee extension will be assessed according to 3 point scale 0 normal strength extension against gravity and against resistance 1 paresis extension against gravity but not against resistance 2 paralysis no extension possible and hip adduction will be assessed Timepoint: Incidence of quadriceps motor block defined as paresis and paralysis of knee extension at hours postoperatively. Assessment of quadriceps femoris muscle strength: For motor block assessment the patient will be in supine position and the patient knee will be fully flexed and the patient will be asked to extend it. Muscle power at 6 12 24 hours Knee extension will be assessed according to 3 point scale 0 normal strength extension against gravity and against resistance 1 paresis extension against gravity but not against resistance 2 paralysis no extension possible and hip adduction will be assessed | — |
Secondary
| Measure | Time frame |
|---|---|
| Quadriceps motor block at 12 and 24 hours NRS scores at various time intervals rest and dynamic 6 12 24 hours Total opioid consumption at 24 hours and its side effect Adverse events following block vascular puncture LA toxicity paresthesia Post operative nausea and vomiting Timepoint: postoperative 24 hour | — |
Countries
India
Contacts
Public ContactDr Rajesh Raushan
All India Institute Of Medical Science Patna Phulwarisharif Patna Bihar India
Outcome results
None listed