Regional Anesthesia
Conditions
Brief summary
This study is comparing the effect of lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics
Detailed description
Different groups receive different interventions at same time during study. patients were randomly allocated in two groups : Group A: lumbar plexus block using shamrock technique by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline. Group B: Fascia iliaca block by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.
Interventions
PROCEDUREbupivacaine 0.5% with 1:200000 adrenaline
regional anesthesia to block lumbar plexus for analgesia of lower limb
Sponsors
Menoufia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
sealed opaque envelop
Intervention model description
This study is comparing the effect of Lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics.
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* ASA physical status I-II and scheduled for elective total hip arthroplasty
Exclusion criteria
* Patients who refuse to participate. * Local infection. * Patients with coagulation defects
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of postoperative analgesia | 24 hours | each patient was assessed by visual analogue scale which consists of a 10 cm line with one end labelled no pain and the other end labelled worst pain imaginable. The patient marks the line at the point that best describes the pain intensity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare effects of both groups on mean arterial blood pressure | intraoperative and 24 hours | monitoring of blood pressure using non invasive blood pressure measurement in millimeter mercury |
Other
| Measure | Time frame | Description |
|---|---|---|
| compare their effects on heart rate (beat\minute) | intraoperative and 24 hours | monitoring of heart rate using pulse oximetry in beat\\minute |
| Complication rate for procedures in the form of local anesthetic toxicity | Intraoperative monitoring | observation of occurrence of local anesthetic toxicity as hypotension, seizures, bradycardia |
Countries
Egypt
Outcome results
None listed