Postoperative Pain
Conditions
Brief summary
The aim of the Study is to compare the analgesic efficacy and clinical outcomes of suprainguinal fascia iliaca block (SIFIB) alone versus SIFIB combined with sciatic nerve block (SNB) in patients undergoing hip surgery.
Detailed description
The aim of the Study is to compare the analgesic efficacy and clinical outcomes of suprainguinal fascia iliaca block (SIFIB) alone versus SIFIB combined with sciatic nerve block (SNB) in patients undergoing hip surgery. 1. Primary Objectives: Time for first rescue analgesia. 2. Secondary Objectives: * Numerical Rating Scale (NRS) scores at rest and during movement at 6 hours, 12 hours, 24 hours, and 48 hours after surgery. * Total opioid consumption within the first 24 hours post-surgery. * Postoperative incidence and severity of motor blockade in the affected limb associated with each block technique (measured using the Modified Bromage Scale). * Technical difficulty and duration of administering each block.
Interventions
DRUGBupivacaine injection
Bupivacaine injection
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age: 18 - 70 years old. * Sex: Both sexes. * American Society of Anesthesiologists (ASA) physical status I , II, III, IV. * Hip surgeries e.g.: Total hip arthroplasty, Hemi-arthroplasty, Fracture neck of femur under spinal anesthesia
Exclusion criteria
* Refusal to participate. * Known allergy to local anesthetics. * Coagulopathy or anticoagulant therapy contraindicating regional anesthesia. * Pre-existing neurological deficits in the lower limbs. * Infection at the injection site. * Severe cognitive impairment or inability to assess pain (e.g., advanced dementia). * Failed spinal anesthesia. * Body mass index (BMI) \>40 kg / m²
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time for first rescue analgesia | Numerical Pain Score in PACU, 6 hrs, 12 hrs, 24 hrs and 48 hrs postoperative | Time to first request for rescue analgesia: Defined as the time interval from the end of procedure until the patient's first complaint of pain with a Numerical Rating Scale (NRS) score ≥ 4 and requests pain relief |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motor Block Assessment | The Modified Bromage Scale at 2 , 6 , 12 and 24 hours postoperatively | Motor Block Assessment: Assessed using the Modified Bromage Scale (0 = no block; 1 = unable to raise extended leg; 2 = unable to flex knee; 3 = unable to move foot or knee) at 2, 6, 12, and 24 hours postoperatively |
Countries
Egypt
Outcome results
None listed