Analgesia Clinical Trial
Official title:
Analgesic Efficacy of Fascia Iliaca Compartment Block With Bupivacaine Versus Bupivacaine With Dexamethasone or Magnesium Sulphate for Dynamic Hip Screw Surgeries Randomized Double Blinded Comparative Study
The aim of this study is to evaluate the analgesic efficacy of fascia iliaca compartment
block using bupivacaine versus bupivacaine with dexamethasone or magnesium sulphate for
dynamic hip screw surgery under spinal anesthesia.
The primary outcome will be the duration of effective analgesia from FICB till the first
analgesic dose is required,the secondary outcomes will be the severity of postoperative pain
as will be assessed by the visual analogue scale and the total dose of pethidin for rescue
analgesia.
Different modes of analgesia are given prior to neuraxial blockade for pain relief like
non-steroidal anti-inflammatory drugs (NSAID), opioids and peripheral nerve blocks such as,
femoral nerve block, 3 in 1 block or fascia iliaca compartment block (FICB).
FICB is believed to be most beneficial compared to other procedures because of its safety and
efficacy . FICB provides blockage of at least two of the three major nerves that supply the
medial, anterior and lateral thigh with one simple injection, namely the femoral and lateral
femoral cutaneous nerves.
FICB is an anterior approach to the lumbar plexus. The pop technique using fascial click had
a low success rate of 35% - 47% .However, as the FICB was performed under real-time
ultrasound guidance, the success rate was increased up to 82- 87%, leading to an increased
interest in FICB as a postoperative analgesia option for hip and knee surgical procedures .
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