Analgesia After Fracture Femur Surgeries
Conditions
Keywords
Fascia iliac block, erector spinae block, femur fracture, adult analgesia
Brief summary
This clinical study compares two types of nerve blocks used to control pain in adult patients undergoing surgery on the upper (proximal) or middle (midshaft) part of the femur (thigh bone). The two blocks being studied are the Erector Spinae Plane (ESP) block and the Fascia Iliaca Compartment (FIC) block. Both techniques are commonly used in hospitals to reduce postoperative pain. The goal is to determine which nerve block provides more effective pain relief, reduces the need for opioid medications, and supports faster recovery in patients following femur surgery. Results from this study may improve pain management strategies for similar procedures in the future. Adults scheduled for proximal or midshaft femur surgery may be eligible to participate. Eligibility is determined based on clinical criteria reviewed by the study team.Administration of one of the two nerve blocks before surgery.Standard surgical and postoperative care. Monitoring of pain levels at specific time points after surgery Recording of opioid medication usage Evaluation of patient satisfaction and any side effects related to the nerve block Duration: The intervention (nerve block) is administered once before surgery. Data collection continues during the immediate postoperative period and for a short time following surgery to assess outcomes. Both nerve blocks are considered safe and are regularly used in clinical practice. All procedures are performed by qualified clinicians, and safety monitoring is conducted throughout the study. Participants may experience improved pain relief and reduced need for opioid medications. While direct benefit cannot be guaranteed, information gained from the study may help improve pain management for future patients undergoing similar surgeries. Participation in the study is completely voluntary. Patients may choose not to participate or may withdraw from the study at any time without affecting the quality of their medical care.
Interventions
ultrasound guided erector spinae plane block (at lumbar level) in lateral position .
ultrasound guided suprainguinal approach in supine position
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* age 18-80 * American society of Anathesiologist physical status ASA Ior II * Patients undergoing Fixation of femur fractures
Exclusion criteria
1. Refusal of participation in study. 2. Bleeding disorders (platelets count < 80,000, INR >1.5, Prothrombin concentration < 60%). 3. Skin lesion, wounds or infection at the puncture site. Known allergy to local anesthetic drugs. 4. Known local anesthetic (LA) drug sensitivity. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration of the block | 15 minutes after extubation till 24 hours postoperative | time starting immediatelyafter giving the block till the first postoperative analgesic rescue which will be used if the pain score exceeds 4/10 |
Countries
Egypt
Outcome results
None listed