Nervous System Diseases peripheral nerve block Orthopaedics Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for hip fractures surgery. 2. American Society of Anesthesiologists physical status (ASA) grades I, II and ???. 3. Age above 50 years. 4. Both sex.
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Neuromuscular diseases. 3. Hematological diseases, bleeding or coagulation abnormality. 4. Local skin infection and sepsis at site of the block. 5. Known allergy to the study drugs and contrast mateial. 6. Unstable cardiovascular condition. 7. Multi-traumatized patients 8. Patients on opioid analgesics or opioid abuse. 9. Obese patients (BMI >35) 10. Patient with abnormal renal functions,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Quadriceps weakness | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analog scale (VAS) for pain.;Block related adverse effects (unintentional vascular puncture, hematoma formation, parethesia).;Sensory distribution assessment of medial thigh for obturator nerve.;Sensory distribution assessment of anterior and lateral thigh for femoral nerve.;Motor assessment of hip adduction for obturator nerve.;Incidence of block failed block (less than 50% pain relief);Nerve conduction study (NCS) for femoral nerve.;Nerve conduction study (NCS) for obturator nerve.;Electromyography (EMG) for femoral nerve;Electromyography (EMG) for obturator nerve | — |
Countries
Egypt
Contacts
lecturer