Spinal Anaesthetic Poisoning, Spinal Anaesthesia
Conditions
Keywords
spinal anaesthesia positioning
Brief summary
In this study, we assessed the effect of suprainguinal facia iliaca block in maximizing the feasibility of positioning for spinal anaesthesia in patients with hip and proximal femur fractures by determining the angle that could be achieved and success rate of spinal anesthesia The control group received a sham block with the same technique of suprainguinal fascia iliaca block before being given spinal anaesthesia. The interventional group received suprainguinal fascia iliaca block before being given spinal anaesthesia.
Interventions
DRUGBubpivacaine
Fascia iliaca compartment block (FICB) was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room with 30 ml of 0.5% bupivacaine.
DRUGNormal Saline
Sham block was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room with 30 ml normal saline.
Sponsors
Suez Canal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Masking description
The patient and the caregiver were blinded to the injectate in the procedure. The investigator was blinded to the solution that was used for the block, as a third person had prepared the injectate. The one who assessed the sitting angle was blinded to the group of the patient.
Intervention model description
* Group 1 - Fascia iliaca block with bupivacaine 0.5% was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room. * Group 2 - Sham block was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room with 30 ml normal saline. Each group included 20 patients. Fascia iliaca block was performed while patients were in the supine position with all aseptic precautions.
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients are ASA I (American Society of Anesthesiologists physical status grade I) = normal healthy patients, ASA II (American Society of Anesthesiologists physical status grade II) = patients with mild systemic disease and no functional limitations, or ASA III (American Society of Anesthesiologists physical status grade III) = patients with moderate systemic disease and some functional limitations. * Patients having hip and/or proximal femur fractures.
Exclusion criteria
* Patient refusal to participate in the study * Patients' refusal for regional anaesthesia * Patients have other combined fractures rather than unilateral hip or proximal femur fractures. * Underlying coagulopathies. * Local infection. * Known allergy to LA. * Body mass index (BMI) more than 40 kg/m². * Heart block greater than first-degree. * Renal and hepatic dysfunction. * Neurological diseases such as Alzheimer's and dementia or apparent psychological instability.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of Fowler's position | 30 minutes after the fascia iliaca compartment block or sham block and till the full sitting position before spinal anaesthesia. | Measure and compare the maximum tolerable degree of Fowler's position after fascia iliaca compartment block (FICB) and sham block in order to give spinal anaesthesia. |
Countries
Egypt
Outcome results
None listed