Ultrasound-Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy

Ultrasound-Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy: A Randomized Double-Blind Study

Status

Completed

Phases

Phase 4

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06745986

Enrollment

Registered

2024-12-24

Start date

2017-12-13

Completion date

2021-05-01

Last updated

2026-06-29

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

Conditions

Fascia Iliaca Compartmental Block, Femoral Thrombectomy, Spinal Anesthesia

Keywords

Visual Analogue Score, UltraSound Guided, Fascia Iliaca Compartmental Block,, Spinal Anesthesia,, Femoral Thrombectomy

Brief summary

This study aims to assess the efficiency of Fascia Iliaca Compartmental Block in patients undergoing femoral thrombectomy versus spinal anesthesia.

Detailed description

Anesthesia for lower limb revascularization consists of general anesthesia, neuraxial anesthesia and peripheral regional block. Fascia iliaca compartment block (FICB) is an anterior approach to the lumbar plexus and it blocks femoral nerve, LFCN, and limited numbers of nearby nerves such as ilioinguinal, genitor femoral.

Interventions

DRUGultrasound guided fascia iliaca compartment block ( bupivacaine 0.25% )

Fascia iliaca compartment block by bupivacaine 0.25% in a total volume of 40 ml.

DRUGSpinal Anesthesia (bupivacaine)

spinal anesthesia by 2.5 ml bupivacaine 0.5%

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Intervention model description

Eighty-four cases were scheduled for femoral thrombectomy and classified into tw0 equal groups (n=42 each), spinal group received spinal anesthesia with 0.5% hyperbaric bupivacaine in a total volume in a total volume 2.5ml and fascia iliaca group received ultrasound guided fascia iliaca block with 40ml of 0.25% bupivacaine for each block. Data collected for each block were onset and duration of sensory and motor block, visual analogue scale, analgesic duration and analgesic consumption, hemodynamics and complications.

Eligibility

Sex/Gender

ALL

Age

40 Years to 60 Years

Healthy volunteers

Inclusion criteria

* scheduled femoral thrombectomy, * both sexes, * aged between 40-65 years, * American Society of Anesthesiologists (ASA) II-III. Patients Criteria:

Exclusion criteria

* ASA status Grade IV, patient * refused to participate, * patients with contraindications to neuraxial anesthesia, such as systemic infection or history of allergy to anesthetic drugs * infection at the site of injection.

Design outcomes

Primary

Measure	Time frame	Description
pain score postoperative	24 hours	visual analogue score (VAS), with a scale from 0 to 10

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 30, 2026