Proximal Femur Fractures Clinical Trial
Official title:
Fascia Iliaca Compartment Block in Proximal End Femur Fractures, Does it Make a Difference?
Fracture femur is a common injury which is associated with excruciating pain. Positioning
for neuraxial blocks is always challenging because even slight overriding of the fracture
ends is intensely painful .It can causing major patient distress which accompanied by
well-known physiological sequelae such as sympathetic activation causing tachycardia,
hypotension, and increased cardiac work that may compromise high-risk cardiac patients.
Fascia iliaca compartment block is highly effective in blocking lateral cutaneous nerve of
the thigh and femoral nerve. Fascia iliaca compartment block is not only easy to perform but
it is also associated with minimal risk as the local anesthetic is injected at a safe
distance from the femoral artery and femoral nerve. It is always safe to perform the fascia
iliaca compartment block prior to spinal anesthesia as the patient can respond during
administration of the local anesthetic and can prevent intra-neuronal injections
On arrival to the pre-operative holding area half hour before the scheduled surgery. Patient
will be connected to basal monitoring devices; pulse oximetry and non- invasive blood
pressure. Fascia iliaca compartment block will be performed with the aid of ultrasound
device in all cases.The injected local anesthetic solution will be prepared by a staff
member who was not involved in the study) according to the randomization. After 20 minutes
from the injection the investigators will assessed nerves that had been blocked.
On arrival to the operative theater, under complete aseptic technique spinal anesthesia will
be carried out in the sitting position (if there is severe pain at positioning we will use
lateral position) at space between L3-4 or L4-5 using a 25-gauge spinal quincke needle.
After feeling the desired space, the needle will be advanced (paramedian approach) till free
flow of cerebrospinal fluid dropped from the needle then 15 mg hyperbaric bupivacaine+20mic
fentanyl will be injected.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01660490 -
Development and Validation of Intraoperative Image-quality Criteria
|
N/A | |
| Completed |
NCT06360835 -
Our Experience in the Management of Therapeutic Failures of Fractures of the Proximal End of the Femur (About 35 Cases)
|