Health Condition 1: M87- Osteonecrosis Health Condition 2: S720- Fracture of head and neck of femur Health Condition 3: M16- Osteoarthritis of hip Health Condition 4: A180- Tuberculosis of bones and joints
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 60-80 years. 2. Male & Female genders. 3. ASA grade I-III. 4. Patients undergoing elective total hip replacement surgery.
Exclusion criteria
Exclusion criteria: 1. Any contraindications of spinal anaesthesia. 2. Raised levels of CRP & PCT at baseline. 3. Block failure. 4. Neurological deficiencies in lower limb. 5. Local infection at the puncture site for either block. 6. Alcohol dependence. 7. Chronic opioid dependence, or abuse. 8. Inability to cooperate. 9. Any history of cognitive disorders like Dementia or Delirium, Schizophrenia and Parkinson disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of pain scores (VAS 0-10) at rest and on movement at fixed intervals of baseline, 6 h, 12 h, 24 h, and 48 h postoperatively, Serum CRP and procalcitonin (PCT) levels at baseline, 6 h, 12 h, 24 h, and 48 h postoperatively, Comparison of Total opioid consumption in the first 24 hours and time to first rescue analgesia in patients receiving the FICB and IPSB BlocksTimepoint: Baseline, 6,12,24 and 48 hours postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Analgesic Efficacy Total opioid consumption (24 48 hr) Time to first rescue analgesia 2. Functional Recovery Time to first ambulation Motor block assessment (e.g., Bromage scale) 3. Safety Profile Block-related complications 4. Physiological Parameters Hemodynamic stability (HR, BP trends) 5. Recovery & Inflammatory Response Length of hospital stay Biomarkers: C-reactive protein and ProcalcitoninTimepoint: 0 hr (baseline/post-op arrival) 2 hr 6 hr 12 hr 24 hr 48 hr | — |
Countries
India
Contacts
Dr. SN Medical College Jodhpur