Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

Postoperative Pain Clinical Trial

Official title:

A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04709211
• Other study ID #: FMASU M D 260/2020
• Status: Completed
• Phase: N/A
• Start date: January 10, 2021
• Est. completion date: July 1, 2021

Study information

• Verified date: August 2022
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 128
• Est. completion date: July 1, 2021
• Est. primary completion date: June 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 50 Years to 85 Years

Eligibility

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

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain

Intervention

Procedure:
• Facia Iliaca block
patients will receive Ultrasound-guided Facia Iliaca block using 50 ml 0f Bupivacaine 0.25%
• Anterior Quadratus Lumbroum block
patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using 50 ml 0f Bupivacaine 0.25%

Drug:
• bupivacaine
bupivacaine

Locations

Country	Name	City	State
Egypt	Ain Shams University	Cairo	Abassia

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	first request of analgesia	the time the patient felt pain and asked for analgesics	48 hours postoperative
Secondary	total opioid consumption	total dose of fentanyl used	48 hours postoperative