Health Condition 1: S720- Fracture of head and neck of femur
Conditions
Interventions
Intervention1: Group A (Dexmedetomidine as adjuvant in PENG block): Group A will recieve 0.2%ropivacaine 20ml + Dexmedetomidine 1mcg/kg(2ml) (overall 22ml total volume) in PENG block after surgery und
Sponsors
Government Institute of Medical Sciences GIMS
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA physical status I-III 2. Proximal femoral fracture (femoral neck, intertrochanteric, or subtrochanteric fracture) 3. Scheduled for surgical fixation under spinal anesthesia 4. Written informed consent
Exclusion criteria
Exclusion criteria: Patient refusal or inability to provide informed consent 1. Known allergy to local anesthetics, dexmedetomidine, or dexamethasone 2. Contraindications to regional anesthesia (coagulopathy, local infection, sepsis) 3. Pre-existing neuropathy or neurological deficit in the affected limb 4. Chronic pain conditions or chronic opioid use 5. Severe cardiovascular/pulmonary disease (heart block, severe bradycardia) 6. Uncontrolled diabetes mellitus 7. Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of analgesia (time to first rescue analgesic request in hours)Timepoint: postoperatively 0.5h,2h,4h,6h,12h,24h | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain scores NRSTimepoint: .5h,2h, 4h,6h,12h,24h;Quadriceps weakness using Oxford scoreTimepoint: postoperatively,at 6hrs;Total opioid (tramadol) consumption in the first 24 hours postoperatively(mg)Timepoint: at postoperative 24hrs;Adverse effects (hypotension, bradycardia, sedation, PONV)Timepoint: postoperative 24hrs;Patient satisfaction score (1-7 likert scale)Timepoint: at postoperative 24hrs | — |
Countries
India
Contacts
Public ContactRuchi Singh
GIMS
Outcome results
None listed