Suprainguinal Facia Iliaca Block in Maximizing the Feasibility of Positioning for Spinal Anesthesia

Suez Canal University40 enrolled

Overview

In this study, we assessed the effect of suprainguinal facia iliaca block in maximizing the feasibility of positioning for spinal anaesthesia in patients with hip and proximal femur fractures by determining the angle that could be achieved and success rate of spinal anesthesia The control group received a sham block with the same technique of suprainguinal fascia iliaca block before being given spinal anaesthesia. The interventional group received suprainguinal fascia iliaca block before being given spinal anaesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Spinal Anaesthetic Poisoning Spinal Anaesthesia

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients are ASA I (American Society of Anesthesiologists physical status grade I) = normal healthy patients, ASA II (American Society of Anesthesiologists physical status grade II) = patients with mild systemic disease and no functional limitations, or ASA III (American Society of Anesthesiologists physical status grade III) = patients with moderate systemic disease and some functional limitations. * Patients having hip and/or proximal femur fractures. Exclusion Criteria: * Patient refusal to participate in the study * Patients' refusal for regional anaesthesia * Patients have other combined fractures rather than unilateral hip or proximal femur fractures. * Underlying coagulopathies. * Local infection. * Known allergy to LA. * Body mass index (BMI) more than 40 kg/m². * Heart block greater than first-degree. * Renal and hepatic dysfunction. * Neurological diseases such as Alzheimer's and dementia or apparent psychological instability.

Outcomes

Primary Outcomes

Degree of Fowler's position

Measure and compare the maximum tolerable degree of Fowler's position after fascia iliaca compartment block (FICB) and sham block in order to give spinal anaesthesia.

Time frame: 30 minutes after the fascia iliaca compartment block or sham block and till the full sitting position before spinal anaesthesia.