Fascia Iliaca Compartment Block for Proximal-end Femur Fractures

• Status: Completed
• Trial end date: 2015-08-01
• Target enrollment: 0
• Participant gender: All

Summary

Fracture femur is a common injury which is associated with excruciating pain. Positioning for neuraxial blocks is always challenging because even slight overriding of the fracture ends is intensely painful .It can causing major patient distress which accompanied by well-known physiological sequelae such as sympathetic activation causing tachycardia, hypotension, and increased cardiac work that may compromise high-risk cardiac patients.

Fascia iliaca compartment block is highly effective in blocking lateral cutaneous nerve of the thigh and femoral nerve. Fascia iliaca compartment block is not only easy to perform but it is also associated with minimal risk as the local anesthetic is injected at a safe distance from the femoral artery and femoral nerve. It is always safe to perform the fascia iliaca compartment block prior to spinal anesthesia as the patient can respond during administration of the local anesthetic and can prevent intra-neuronal injections

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Mansoura University
• Treatments: Bupivacaine; Fentanyl

Criteria

Inclusion Criteria:

• American Society of Anesthesiologist physical status I to III

• Patients scheduled for fixation for proximal end femur fracture

Exclusion Criteria:

• Patients refusal

• Morbid obese patients (BMI>40)

• Bleeding diathesis

• Previous femoral bypass surgery

• Inguinal hernia

• Inflammation/infection over injection site

• Peripheral neuropathy

• Allergy to local anesthetics agents used.

• Severely altered consciousness level

• Psychiatric disorders

• Polytrauma