Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

Ain Shams University

Status: Completed

Conditions: Postoperative Pain

Treatments: Drug: bupivacaine; Procedure: Facia Iliaca block; Procedure: Anterior Quadratus Lumbroum block

Study type: Interventional

Funder types: Other

Identifiers

NCT04709211

FMASU M D 260/2020

Details and patient eligibility

About

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.

Full 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

Enrollment: 128 patients

Sex: All

Ages: 50 to 85 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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128 participants in 2 patient groups

Group I: Facia Iliaca block

Active Comparator group

Description:

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

Treatment:

Procedure: Facia Iliaca block

Group Q: Anterior Quadratus lumbroum block

Active Comparator group

Description:

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

Treatment:

Procedure: Anterior Quadratus Lumbroum block

Drug: bupivacaine