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

Zagazig University

Status: Completed

Conditions: Lower Limb Fracture

Treatments: Procedure: one point combined Lumbar and sacral plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT06019754

IRB#10892

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 56 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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56 participants in 2 patient groups, including a placebo group

Control group

Placebo Comparator group

Description:

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

Treatment:

Procedure: one point combined Lumbar and sacral plexus block

Interventional group

Active Comparator group

Description:

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

Treatment:

Procedure: one point combined Lumbar and sacral plexus block