Ultrasound-Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy

Port Said University hospital

Status and phase: Completed; Phase 4

Conditions: Spinal Anesthesia; Femoral Thrombectomy; Fascia Iliaca Compartmental Block

Treatments: Drug: Spinal Anesthesia (bupivacaine); Drug: ultrasound guided fascia iliaca compartment block ( bupivacaine 0.25% )

Study type: Interventional

Funder types: Other

Identifiers

NCT06745986

MS/17.10.109

Details and patient eligibility

About

This study aims to assess the efficiency of Fascia Iliaca Compartmental Block in patients undergoing femoral thrombectomy versus spinal anesthesia.

Full description

Anesthesia for lower limb revascularization consists of general anesthesia, neuraxial anesthesia and peripheral regional block. Fascia iliaca compartment block (FICB) is an anterior approach to the lumbar plexus and it blocks femoral nerve, LFCN, and limited numbers of nearby nerves such as ilioinguinal, genitor femoral.

Enrollment: 84 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• scheduled femoral thrombectomy,
• both sexes,
• aged between 40-65 years,
• American Society of Anesthesiologists (ASA) II-III. Patients Criteria:

Exclusion criteria

• ASA status Grade IV, patient
• refused to participate,
• patients with contraindications to neuraxial anesthesia, such as systemic infection or history of allergy to anesthetic drugs
• infection at the site of injection.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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84 participants in 2 patient groups

Fascia iliaca group

Active Comparator group

Description:

The ultrasound-guided fascia iliaca compartment block (FICB) group included 42 patients who had a fascia iliaca compartment block by bupivacaine 0.25% in a total volume of 40 ml.

Treatment:

Drug: ultrasound guided fascia iliaca compartment block ( bupivacaine 0.25% )

spinal anesthesia

Active Comparator group

Description:

spinal anesthesia included 42 patients had spinal anesthesia with 2.5 ml bupivacaine 0.5%.

Treatment:

Drug: Spinal Anesthesia (bupivacaine)