Femoral Neck Fractures, Lumbosacral Plexus, Nerve Block
Conditions
Brief summary
The more effective use of ultrasound in regional anaesthesia techniques has made different block applications possible. Lumbar plexus block is also used for post-operative analgesia and surgical anaesthesia. Currently, in-plane ultrasound-guided LPB is widely used in short-axis imaging and Shamrock imaging.
Detailed description
The purpose of this use is to investigate the effectiveness of lumbar plexus block application applied with in-plane and out-of-plane methods accompanied by Shamrock imaging.
Interventions
PROCEDUREout-of-plane needle guidance
Ultrasound -guided lumbar plexus block with out-of-plane needle guidance using Shamrock method
PROCEDUREin-plane needle guidance
Ultrasound -guided lumbar plexus block with in-plane needle guidance using the Shamrock method
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* 18-90 years old * ASA (American Society of Anaesthesiologist) Score I-III risk class * Patients who will undergo femoral neck fracture operation.
Exclusion criteria
* Local Anaesthetic Allergy * With Bleeding Diathesis Disorder * Mental Disorders * Allergic to the medicines used * Previous Cerebrovascular Disease * Body Mass Index above 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Block application time | up to 20 minutes | The stopwatch will be started by another researcher with the needle skin penetration and the stopwatch will be stopped as soon as the needle leaves the skin. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of interventions | up to 20 minutes | intervention from the same or another site after exiting the skin |
| The number of needle guidance | up to 20 minutes | Retraction and re-advancement of the needle after skin entry without exiting the skin |
| sensory block | up to 40 minutes | Both lower limbs sensory block time after the applied block will be evaluated by pinprick and cold test (10.15., 20., 25., 30., 35. and 40 minutes). |
| motor block | up to 40 minutes | Both lower limbs Modified Bromage scale was used to evaluate motor block. Modified Bromage scale 0 No motor block 1. Raises the knee in flexion 2. Raises the ankle 3. Full block, can't move his foot |
Countries
Turkey (Türkiye)
Contacts
Primary ContactKorgün Ökmen, Assoc. PhD.
Outcome results
None listed