Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective surgery for hip fracture. 2. Patient having baseline NRS more than 7 3. Patients consenting to participate. 4. Adult patients. 5 Patients belonging to American Society of Anesthesiologists (ASA) grade I, II and III.
Exclusion criteria
Exclusion criteria: 1.Patients with psychiatric illness, anxious, agitated. 2.Patients with peripheral sensorineural deficit. 3.Patients allergic to local anesthetics. 4.Patients with contraindications to regional anaesthesia. 5. Patients with suspected compartment syndrome in lower limbs. 6.Patients on analgesia within 8 hours before performing nerve block. 7. Block failure cases -If NRS score is not less than 3 within 20 min of performing peripheral nerve block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To assess and compare pain by NRS at different time intervals after administration of block. 2.To observe the change in NRS at one minute interval maximum up to 20 minutes after administration of block, until NRS less than 3 for positioning of patient for spinal anaesthesia. 3.To determine the difference in mean time of first rescue analgesia by using NRS and mean dose of analgesic required in 24 hours in both groups. Timepoint: 1.To assess and compare pain by NRS at 30min,1st,2nd,4th and 6th hr followed by every 6th hourly till 24 hours after administering block. 2.To observe the change in NRS at one minute interval up to 20 minutes after administration of block, for positioning of patient for spinal anaesthesia. 3.To determine the mean dose of analgesic required in 24 hours in both groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the change in the hemodynamic parameters (HR, SBP, DBP, MAP and SpO2) in both groups. Timepoint: at 30 min,1,2,4,6 hour and 6 hourly afterwards till 24 hours after block;2. To assess and compare patient satisfaction by using three point likert rating scale between both the groupsTimepoint: at 30 min,1,2,4,6 hour and 6 hourly afterwards till 24 hours after block;To observe side effect or complication, if anyTimepoint: in pre-operative,peri-operative and post-operative period | — |
Countries
India
Contacts
SMS medical college, Jaipur