Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04709211

Enrollment

128

Registered

2021-01-14

Start date

2021-01-10

Completion date

2021-07-01

Last updated

2024-10-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Brief summary

Fractures of the femur are common orthopaedic emergency especially in the geriatric population and central neuraxial blocks are the preferred technique for providing anaesthesia. However, limb immobility and extreme pain are the deterrents for ideal positioning for these procedures. postoperative pain is a nightmare so adequate analgesia has been advocated to reduce the pain. in this study, Facia Iliaca compartment block will be compared to anterior Quadratus lumborum block, both will be done Ultrasound-guided using Bupivacain0.25% for postoperative analgesia at the end of the surgery.

Detailed description

In this prospective, randomized, comparative study patients will be equally divided into two equal groups; GroupI: patients will receive Ultrasound-guided Facia Iliaca compartment block with 50 ml 0.25%bupivacaine at the end of surgery Group Q: patients will receive Ultrasound-guided anterior Quadratus lumborum block with 50 ml 0.25%bupivacaine at the end of surgery

Interventions

PROCEDUREFacia Iliaca block

patients will receive Ultrasound-guided Facia Iliaca block using 50 ml 0f Bupivacaine 0.25%

PROCEDUREAnterior Quadratus Lumbroum block

patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using 50 ml 0f Bupivacaine 0.25%

DRUGbupivacaine

bupivacaine

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

50 Years to 85 Years

Healthy volunteers

Yes

Inclusion criteria

* ASA II to IV * Both sexes * scheduled for fracture femur surgeries

Exclusion criteria

* patients with bleeding disorders and coagulopathy * infection at the injection site * known allergy to local anaesthetics * patients with multiple fractures * patients with pre-existing myopathy or neuropathy * patients with significant cognitive dysfunction * patients who receive long-acting opioids preoperatively

Design outcomes

Primary

Measure	Time frame	Description
first request of analgesia	48 hours postoperative	the time the patient felt pain and asked for analgesics

Secondary

Measure	Time frame	Description
total opioid consumption	48 hours postoperative	total dose of fentanyl used

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026