Femoral Fracture
Conditions
Keywords
fascia iliaca compartment block, fentanyl
Brief summary
This study is performed to determine the efficacy of ultrasound-guided fascia iliaca compartment block during positioning for spinal anaesthesia in patient undergoing repair of proximal femur fracture surgery comparing with intravenous fentanyl.
Detailed description
This a prospective, single-blind, randomized control study that compare the efficacy of ultrasound-guided fascia iliaca compartment block with intravenous fentanyl in positioning patient with femur fracture for spinal anaesthesia.
Interventions
DRUGRopivacaine
Fascia iliaca compartment block using ropivacaine
DRUGFentanyl
Intravenous fentanyl
DEVICEUltrasound
Ultrasound-guided fascia iliaca compartment block
Sponsors
Universiti Kebangsaan Malaysia Medical Centre
Kuala Lumpur General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anaesthesiologists (ASA) score I and II * Elective surgery of repair of unilateral, single femoral fracture under spinal anaesthesia performed in General Operation Theatre, Hospital Kuala Lumpur. The fracture may involve femoral neck or femoral shaft.
Exclusion criteria
* Patient with contraindication for spinal anaesthesia * Known hypersensitivity or contraindication to medication used in this study * Morbid obesity (body mass index (BMI) \> 35 kg/m2) * Infection at the intended site of administration of fascia iliaca compartment block * Patient with impaired cognitive function
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score during positioning | Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl) | Pain score is assessed using Visual Analogue Scale (VAS) score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ease of positioning for spinal anaesthesia | Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl) | It will be characterized as 'very difficult', 'difficult', 'easy' and 'very easy' |
| Patient satisfaction | 24 hours after intervention | Patient will be asked whether they will choose the same analgesic technique in the event of future operation : 'yes' or 'no'. |
| Adverse effects | Up to 24 hours of intervention | — |
Countries
Malaysia
Outcome results
None listed