Hip fracture surgery Postoperative pain control Lumbar plexus block Fascia iliaca block Femoral nerve block Hip fracture surgery Postoperative pain control Lumbar plexus block Fascia iliaca block Femoral nerve block
Conditions
Interventions
Target: Posteromedial quadrant of psoas muscle at L3-
L4 transverse process level under ultrasound guidance,Target: Under abdominal muscle and fascia iliaca,
above iliacus muscle under ultrasound guidance,Target: Under femoral nerve at the prebifurcation level of femoral artery under ultrasound guidance
Posterior lumbar plexus block,Supra-
inguinal fascia iliaca block,Femoral nerve block
Sponsors
Chiang Mai University
Chiang Mai University
Eligibility
Sex/Gender
All
Age
55 Years to 0 Years
Inclusion criteria
Inclusion criteria: Patients undergoing hip fracture repair using dynamic hip screws (DHS) and intramedullary hip screws (IMHS).
Exclusion criteria
Exclusion criteria: - Previous hip surgery - Inability to understand and report pain severity - Decreased mental status or confusion state - Uncontrolled cardiovascular and respiratory diseases - Hepatic or renal failure - Chronic opioids use - Allergy to levobupivacaine or other medications used in the protocol - Contraindications for spinal anesthesia: patient refusal, coagulopathy, increased intracranial pressure, local skin infection at needle insertion site, preload- and afterload-dependent cardiovascular disease (eg. aortic stenosis), intravascular volume depletion, sepsis, abnormal spine anatomy - Contraindications for all PNBs: patient refusal, preexisting neurological deficit, abnormal anatomy of back or inguinal area
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour morphine consumption start at PACU until 24 hours after the end of operation total dose of intravenous morphine administration within 24 hours after operation | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain scores Start at PACU and every 4 hours until 24 hours after the end of operation Verbal rating scale (0-4),Positioning time Start at placing a patient for anesthetic procedure until finish positioning Time (seconds) used for patient's positioning,Complications of peripheral nerve blocks start at operating room until 24 hours after the end of operation Incidences of vascular puncture, paresthesia, LA toxicity,Complications of surgery Start at operating room until 24 hours after the end of operation Incidences of bleeding, thromboembolic event, re-operation,Postioperative physiotherapy Start at PACU until 7 days after the end of operation Postoperative day that a patient starts walking | — |
Countries
Thailand
Contacts
Public ContactPrangmalee Leurcharusmee
Chiang Mai University
Outcome results
None listed