Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

NCT ID: NCT04709211

Last Updated: 2024-10-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 128 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-01-10
• Study Completion Date: 2021-07-01

Brief Summary

Fractures of the femur are common orthopaedic emergency especially in the geriatric population and central neuraxial blocks are the preferred technique for providing anaesthesia. However, limb immobility and extreme pain are the deterrents for ideal positioning for these procedures. postoperative pain is a nightmare so adequate analgesia has been advocated to reduce the pain. in this study, Facia Iliaca compartment block will be compared to anterior Quadratus lumborum block, both will be done Ultrasound-guided using Bupivacain0.25% for postoperative analgesia at the end of the surgery.

Detailed Description

In this prospective, randomized, comparative study patients will be equally divided into two equal groups; GroupI: patients will receive Ultrasound-guided Facia Iliaca compartment block with 50 ml 0.25%bupivacaine at the end of surgery Group Q: patients will receive Ultrasound-guided anterior Quadratus lumborum block with 50 ml 0.25%bupivacaine at the end of surgery

Conditions

Postoperative Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: TRIPLE

Study Groups

Group I: Facia Iliaca block

patients will receive Ultrasound-guided Facia Iliaca Block using bupivacaine 0.25%

Group Type: ACTIVE_COMPARATOR

Facia Iliaca block

Intervention Type: PROCEDURE

patients will receive Ultrasound-guided Facia Iliaca block using 50 ml 0f Bupivacaine 0.25%

Group Q: Anterior Quadratus lumbroum block

patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25%

Group Type: ACTIVE_COMPARATOR

Anterior Quadratus Lumbroum block

Intervention Type: PROCEDURE

patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using 50 ml 0f Bupivacaine 0.25%

bupivacaine

Intervention Type: DRUG

bupivacaine

Interventions

Facia Iliaca block

patients will receive Ultrasound-guided Facia Iliaca block using 50 ml 0f Bupivacaine 0.25%

Intervention Type: PROCEDURE

Anterior Quadratus Lumbroum block

patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using 50 ml 0f Bupivacaine 0.25%

Intervention Type: PROCEDURE

bupivacaine

bupivacaine

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• ASA II to IV
• Both sexes
• scheduled for fracture femur surgeries

Exclusion Criteria

• patients with bleeding disorders and coagulopathy
• infection at the injection site
• known allergy to local anaesthetics
• patients with multiple fractures
• patients with pre-existing myopathy or neuropathy
• patients with significant cognitive dysfunction
• patients who receive long-acting opioids preoperatively

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Ain Shams University

OTHER

Sponsor Role: lead

Responsible Party

Rania Maher Hussien, MD

Assistant professor of Anaesthesia

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Fathy M Tash, MD

Role: STUDY_CHAIR

Ain Shams University

Locations

Ain Shams University

Cairo, Abassia, Egypt

Countries

Egypt

Other Identifiers

FMASU M D 260/2020

Identifier Type: -

Identifier Source: org_study_id