Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Control Intervention1: nil: nil
Sponsors
Mude Nanda Kumar Naik
Shruti Patil
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled for hip surgery under central neuraxial block
Exclusion criteria
Exclusion criteria: 1)Contraindications for spinal anaesthesia, PENG block and Iliopsoas plane block 2)Patient with multiple fractures 3)Refusal to participate 4)Local infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Haemodynamic parameters and VAS will be observed every minute in first 5 minutes and every 5 minutes for next 30 minutes.Timepoint: every minute in first 5 minutes and every 5 minutes for next 30 min minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS during supine position I. Static ii. Dynamic (Passive leg raising 15°) at 5,10,15,30 min iii. VAS (Visual Analogue scale) during sitting position iv. Quadriceps strength using MMT scale [0-5], where 0 is no muscle contraction and 5 can bear full resistance. Timepoint: at 5,10,15,30 min;Quality of patient positioning will be assessed by the anaesthetist giving spinal anaesthesiaTimepoint: at 30 min;patient satisfaction score in sitting position using a three point likert scaleTimepoint: at 30 min;block administration time from ultrasound scanning to completion of drug injectionTimepoint: at 0 min;number of needle passes required [number of needle redirection]Timepoint: at 0 min;ease of performance of block [ easy, moderate, difficult]Timepoint: at 0 min;Requirement of supplemental IV analgesic agents for positioning Additional analgesia in the form of injection paracetamol 1gm IV, injection fentanyl (1-2 mcg/ kg) IV, injection tramadol (2 mg/kg) IV will be noted. The time, dose and drug details will be noted for giving position for central neuraxial blockTimepoint: at 30 min;Sensory anaesthesia over anterior aspect of thigh using ether swabTimepoint: at 30 min;Complications if any (bleeding / haematoma formation, neuropathy and systemic toxicity). Thereafter Spinal /CSE will be administered as per routine protocol.Timepoint: at 30 min;VAS (Visual Analogue scale) during sitting positionTimepoint: at 30 min | — |
Countries
India
Contacts
Public ContactShruti Patil
Lokmanya Tilak Municipal General Hospital
Outcome results
None listed