Health Condition 1: S720- Fracture of head and neck of femur Health Condition 2: S721- Pertrochanteric fracture
Conditions
Interventions
Intervention1: Ultrasound-guided suprainguinal fascia iliaca block with 40 ml Ropivacaine: Participants will receive a single preoperative suprainguinal fascia iliaca block using 40 ml of 0.25 percent
Sponsors
Dr. S.N. Medical College, Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: ASA physical status I-III, scheduled for surgical fixation of the neck of the femur or intertrochanteric fracture, Able to provide informed consent.
Exclusion criteria
Exclusion criteria: Allergy to amide local anaesthetics. Coagulopathy or anticoagulant use where patients are unable to safely discontinue antiplatelet agents or anticoagulants. Infection at the block site. Neurological deficits affecting the limb. Body Mass Index greater than 35 kilograms per meter squared. Patient refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from completion of suprainguinal fascia iliaca block injection to first rescue analgesia, defined as the first intravenous tramadol rescue dose given on patient request or when NRS is greater than 4, whichever occurs first.Timepoint: From completion of suprainguinal fascia iliaca block injection until first rescue analgesia or 24 hours after block injection. | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS pain scores at rest and on movement, total tramadol consumption, sensory block characteristics, early motor grade, hemodynamic parameters, adverse effects and complications, obturator nerve blockade, and patient satisfaction score.Timepoint: NRS at 2, 4, 6, 8, 12, 18, and 24 hours after block. Tramadol use, adverse effects, complications, and satisfaction during the first 24 hours. Sensory and motor assessments at 5 and 10 minutes with sensory regression recorded up to 24 hours. | — |
Countries
India
Contacts
Public ContactDr Vandana Sharma
Dr. S.N. Medical college,Jodhpur
Outcome results
None listed