Analgesic efficacy of perioperative ultrasound-guided fascia Iliaca block in geriatric patients receiving spinal anesthesia for hip fracture surgery: a prospective randomized double-blind study

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20251031004

Enrollment

Registered

2025-10-31

Start date

2025-02-20

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Elderly patients aged 60 to 95 years undergoing hip fracture surgery under regional anesthesia at Somdetphraphutthaloetla Hospital. Hip fracture, elderly, morphine, FICB

Interventions

Received ultrasound scanning without injection 30 minutes before surgery then spinal anesthesia using a 27G Quincke needle and 0.5% isobaric bupivacaine 2.0 to 3.0 mL to achieve a sensory block up to

Sham Comparator Procedure/Surgery,Active Comparator Procedure/Surgery

Control,Block

Eligibility

Sex/Gender

All

Age

60 Years to 95 Years

Inclusion criteria

Inclusion criteria: 1. Patients aged 60 to 95 years with ASA physical status I to III 2. undergoing hip fracture surgery under regional anesthesia

Exclusion criteria

Exclusion criteria: 1. inability to communicate with investigators 2. Allergy to local anesthetics or opioids 3. Contraindication to peripheral nerve block 4. Pathological fracture due to malignancy 5. Chronic opioid use 6. Body weight below 40 kg 7. BMI more than 30

Design outcomes

Primary

Measure	Time frame
total morphine consumption required to control postoperative pain during the first 24 and 48 hours after hip surgery from medical record (milligram)	—

Secondary

Measure	Time frame
Pain score during positioning for spinal anesthesia during positioning for spinal anesthesia Numerical Rating Scale,Resting pain score at 24 and 48 hours postoperatively Numerical Rating Scale,pain score on movement at 24 and 48 hours postoperatively Numerical Rating Scale,Time to first analgesic request after surgery within 48 hours postoperatively from medical record,Incidence of postoperative nausea within 24 and 48 hours postoperatively Ask from patient,Incidence of postoperative vomiting within 24 and 48 hours Ask from patient,Incidence of postoperative shivering within 24 and 48 hours Ask from patient,Incidence of postoperative pruritus within 24 and 48 hours Ask from patient,Total antiemetic drug consumption within the first 24 hours from medical record (milligram),Patient satisfaction score regarding anesthesia care 48 hours postoperatively Numerical Rating Scale,Length of hospital stay admit until discharge from medical record ,Incidence of anesthesia and surgery-related adverse events (e.g., local anesthetic systemic toxicity [LAST], postoperative infection, muscle weakness, fall, or nerve injury within 48 hours after surgery from medical record	—

Measure

Time frame

Pain score during positioning for spinal anesthesia during positioning for spinal anesthesia Numerical Rating Scale,Resting pain score at 24 and 48 hours postoperatively Numerical Rating Scale,pain score on movement at 24 and 48 hours postoperatively Numerical Rating Scale,Time to first analgesic request after surgery within 48 hours postoperatively from medical record,Incidence of postoperative nausea within 24 and 48 hours postoperatively Ask from patient,Incidence of postoperative vomiting within 24 and 48 hours Ask from patient,Incidence of postoperative shivering within 24 and 48 hours Ask from patient,Incidence of postoperative pruritus within 24 and 48 hours Ask from patient,Total antiemetic drug consumption within the first 24 hours from medical record (milligram),Patient satisfaction score regarding anesthesia care 48 hours postoperatively Numerical Rating Scale,Length of hospital stay admit until discharge from medical record ,Incidence of anesthesia and surgery-related adverse events (e.g., local anesthetic systemic toxicity [LAST], postoperative infection, muscle weakness, fall, or nerve injury within 48 hours after surgery from medical record

—

Countries

Thailand

Contacts

Public ContactSaowaluk Sotananan

Somdetphraphutthaloetla Hospital

pum.sotananan@gmail.com034714314

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026