Analgesia For Positioning Patient With Femur Fracture For Spinal Anaesthesia
NCT ID: NCT02983344
Last Updated: 2017-09-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
24 participants
INTERVENTIONAL
2015-10-31
2017-06-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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fascia iliaca compartment block
Patient will receive 40ml of ropivacaine 0.375% at the fascia iliaca compartment under the guidance of ultrasound. It will be given 20 minutes before patient is positioned for spinal anaesthesia
Ropivacaine
Fascia iliaca compartment block using ropivacaine
Ultrasound
Ultrasound-guided fascia iliaca compartment block
intravenous fentanyl
Patient will receive 0.5 mcg/kg of intravenous fentanyl. It will be given 5 minutes before patient is positioned for spinal anaesthesia
Fentanyl
Intravenous fentanyl
Interventions
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Ropivacaine
Fascia iliaca compartment block using ropivacaine
Fentanyl
Intravenous fentanyl
Ultrasound
Ultrasound-guided fascia iliaca compartment block
Eligibility Criteria
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Inclusion Criteria
* Elective surgery of repair of unilateral, single femoral fracture under spinal anaesthesia performed in General Operation Theatre, Hospital Kuala Lumpur. The fracture may involve femoral neck or femoral shaft.
Exclusion Criteria
* Known hypersensitivity or contraindication to medication used in this study
* Morbid obesity (body mass index (BMI) \> 35 kg/m2)
* Infection at the intended site of administration of fascia iliaca compartment block
* Patient with impaired cognitive function
60 Years
85 Years
ALL
No
Sponsors
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Universiti Kebangsaan Malaysia Medical Centre
OTHER
Kuala Lumpur General Hospital
OTHER_GOV
Responsible Party
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Dr Aida Mastura Mohd Shah
Principle Investigator
Principal Investigators
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Raha Abdul Rahman, MBBS
Role: STUDY_CHAIR
Universiti Kebangsaan Malaysia Medical Centre
Azrin Mohd Azidin, MBBS
Role: PRINCIPAL_INVESTIGATOR
Kuala Lumpur General Hospital
Locations
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Kuala Lumpur General Hospital
Kuala Lumpur, Kuala Lumpur, Malaysia
Countries
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References
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Diakomi M, Papaioannou M, Mela A, Kouskouni E, Makris A. Preoperative fascia iliaca compartment block for positioning patients with hip fractures for central nervous blockade: a randomized trial. Reg Anesth Pain Med. 2014 Sep-Oct;39(5):394-8. doi: 10.1097/AAP.0000000000000133.
Yun MJ, Kim YH, Han MK, Kim JH, Hwang JW, Do SH. Analgesia before a spinal block for femoral neck fracture: fascia iliaca compartment block. Acta Anaesthesiol Scand. 2009 Nov;53(10):1282-7. doi: 10.1111/j.1399-6576.2009.02052.x. Epub 2009 Jul 22.
Newman B, McCarthy L, Thomas PW, May P, Layzell M, Horn K. A comparison of pre-operative nerve stimulator-guided femoral nerve block and fascia iliaca compartment block in patients with a femoral neck fracture. Anaesthesia. 2013 Sep;68(9):899-903. doi: 10.1111/anae.12321. Epub 2013 Jun 21.
Guay J, Kopp S. Peripheral nerve blocks for hip fractures in adults. Cochrane Database Syst Rev. 2020 Nov 25;11(11):CD001159. doi: 10.1002/14651858.CD001159.pub3.
Other Identifiers
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NMRR-15-757-25608
Identifier Type: -
Identifier Source: org_study_id
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