Analgesia For Positioning Patient With Femur Fracture For Spinal Anaesthesia

Kuala Lumpur General Hospital24 enrolled

Overview

This study is performed to determine the efficacy of ultrasound-guided fascia iliaca compartment block during positioning for spinal anaesthesia in patient undergoing repair of proximal femur fracture surgery comparing with intravenous fentanyl.

This a prospective, single-blind, randomized control study that compare the efficacy of ultrasound-guided fascia iliaca compartment block with intravenous fentanyl in positioning patient with femur fracture for spinal anaesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Femoral Fracture

Interventions

RopivacaineDRUG

Fascia iliaca compartment block using ropivacaine

FentanylDRUG

Intravenous fentanyl

UltrasoundDEVICE

Ultrasound-guided fascia iliaca compartment block

Eligibility

Sex: ALLMin age: 60 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anaesthesiologists (ASA) score I and II * Elective surgery of repair of unilateral, single femoral fracture under spinal anaesthesia performed in General Operation Theatre, Hospital Kuala Lumpur. The fracture may involve femoral neck or femoral shaft. Exclusion Criteria: * Patient with contraindication for spinal anaesthesia * Known hypersensitivity or contraindication to medication used in this study * Morbid obesity (body mass index (BMI) \> 35 kg/m2) * Infection at the intended site of administration of fascia iliaca compartment block * Patient with impaired cognitive function

Locations (1)

Kuala Lumpur General Hospital

Kuala Lumpur, Kuala Lumpur, Malaysia

Outcomes

Primary Outcomes

Pain score during positioning

Pain score is assessed using Visual Analogue Scale (VAS) score

Time frame: Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl)

Secondary Outcomes

Ease of positioning for spinal anaesthesia

It will be characterized as 'very difficult', 'difficult', 'easy' and 'very easy'

Time frame: Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl)

Patient satisfaction

Patient will be asked whether they will choose the same analgesic technique in the event of future operation : 'yes' or 'no'.

Time frame: 24 hours after intervention

Adverse effects

Time frame: Up to 24 hours of intervention

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.