Combined Lumbar and Sacral Branches Block Through the Ilio-Psoas Muscle Spaces for Analgesia of Lower Limb Surgeries

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-10

Study Completion Date

2024-09-04

Brief Summary

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lumbosacral plexus block (LSPB) has been widely applied in orthopedics departments due to its advantages, including reduction in the application of opiates, decreasing the occurrence of acute pain, promoting early activation, and shortening the time of hospital stay. LSPB is a peripheral regional technique of anesthesia and analgesia, that provides a block of the main components of the lumbosacral plexus.

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Detailed Description

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Traditional ultrasound-guided lumbar plexus block combined with sacral plexus block requires separate blocks at different sites, requiring the lateral decubitus or prone position, which may be suboptimal in patients with severe pain. we present an anterior approach for combined lumbar and sacral plexus blocks with a one-point puncture.

Conditions

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Lower Limb Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Using a point puncture approach instead of two punctures to perform lumbosacral plexuses block in the interventional group.

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Randomization assignments will be kept in sealed envelopes until all preprocedural measurements will be completed

Study Groups

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Control group

patients who will be recruited in the control group will receive general anesthesia only

Group Type PLACEBO_COMPARATOR

one point combined Lumbar and sacral plexus block

Intervention Type PROCEDURE

performing an ultrasound-guided one-point combined Lumbar and sacral plexus block using a one-point puncture. Block success will be assessed using the perfusion index (PI) before and after performing the block

Interventional group

Patients who will be recruited in the Interventional will receive one point combined lumbar and sacral plexus block. then they will receive general anesthesia

Group Type ACTIVE_COMPARATOR

one point combined Lumbar and sacral plexus block

Intervention Type PROCEDURE

performing an ultrasound-guided one-point combined Lumbar and sacral plexus block using a one-point puncture. Block success will be assessed using the perfusion index (PI) before and after performing the block

Interventions

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one point combined Lumbar and sacral plexus block

performing an ultrasound-guided one-point combined Lumbar and sacral plexus block using a one-point puncture. Block success will be assessed using the perfusion index (PI) before and after performing the block

Intervention Type PROCEDURE

Other Intervention Names

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No block intervention in control group

Eligibility Criteria

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Inclusion Criteria

* ASA I-II.
* patients scheduled for unilateral femur or tibial surgery necessitate knee joint intervention
* patients who have severe pain hindering changing their position or patients who have spinal fractures or refusing spinal anesthesia.
* patients with the capability of communication

Exclusion Criteria

* puncture site infection
* patients with coagulation disorders
* patients who refuse to participate or withdraw due to personal reasons
* allergy to local anesthetics.
* past surgery at the site of the block
* hip ankylosis
* drug abuse
* Body mass index ≥ 35 kg/m2
* peripheral vascular insufficiency
* use of alpha or beta blocker agents
* Nerve injury or neuropathy of the affected lower limb
* cardiovascular or respiratory decompansation

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No