Femur Fracture, Erector Spinae, Lumbar Plexus, Ultrasound Guide
Conditions
Brief summary
The aim is to clinical trials compare the lumbar plexus block method with the erector spinae plan block method in terms of analgesic efficacy and possible complications. İn patients for femur fracture surgery. The main questions it aims to answer are: 1. is erector spinae plane block as effective as lumbar plexus block for postoperative analgesia in femur fractures? 2. Is erector spinae plane block effective for reducing opioid consumption compared to lumbar plexus block?
Interventions
PROCEDUREESP block
ESP block: ultrasound guided erector spina plane block
PROCEDURELP block
LP block: ultrasound guided lumbar plexus block
Sponsors
Sakarya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Intervention model description
Group 1: The patients in the first group (ESP Group) will be applied ultrasound guided ESP block at the lateral position at the end of the surgery. ESP will be performed with a posterior approach, under ultrasound guidance, by imaging the muscles and the needle. Group 2: At the end of the surgery, patients in the second group (LP Group) will have an appropriate level of LP block with ultrasound guidance and, if necessary, using a neurostimulator.
Eligibility
Sex/Gender
ALL
Age
45 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Proximal femoral surgery * All patients who can respond to pain assessment questions
Exclusion criteria
* Regional block contraindications, * Severe cardiac and respiratory disease, * Severe coagulopathy, * Body mass index greater than 35
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | postoperative 24 hours | Opioid consumption will be measured in micrograms. |
Countries
Turkey (Türkiye)
Outcome results
None listed