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The purpose of this study is to compare two analgesic methods performed preoperatively to assist positioning patients for performance of spinal anesthesia, namely fascia iliaca blockade and intravenous fentanyl.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fascia iliaca compartment block | Active Comparator |
| |
| Fentanyl | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fentanyl | Drug | Fentanyl IV |
| |
| Fascia iliaca compartment block |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores on the Numeric Rating Scale | Group A: 5 minutes after intervention (fentanyl), Group B: 20 minutes after intervention (block) |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of spinal anesthesia performance | It will be measured in "minutes", from the start of positioning maneuvers to the spinal needle removal | Group A: 5 minutes after intervention (fentanyl), Group B: 20 minutes after intervention (block) |
| Quality of patient's position |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asklepieion Hospital of Voula | Athens | Attica | 16673 | Greece |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19650803 | Background | Yun MJ, Kim YH, Han MK, Kim JH, Hwang JW, Do SH. Analgesia before a spinal block for femoral neck fracture: fascia iliaca compartment block. Acta Anaesthesiol Scand. 2009 Nov;53(10):1282-7. doi: 10.1111/j.1399-6576.2009.02052.x. Epub 2009 Jul 22. | |
| 18762870 | Background | Hogh A, Dremstrup L, Jensen SS, Lindholt J. Fascia iliaca compartment block performed by junior registrars as a supplement to pre-operative analgesia for patients with hip fracture. Strategies Trauma Limb Reconstr. 2008 Sep;3(2):65-70. doi: 10.1007/s11751-008-0037-9. Epub 2008 Sep 2. |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D005283 | Fentanyl |
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D000813 | Anilides |
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| Procedure |
Fascia iliaca compartment block using ropivacaine |
|
| ropivacaine | Drug |
|
The position will be characterized as "unsatisfactory", "satisfactory", "good" or "very good" |
| Group A: 5 minutes after intervention (fentanyl), Group B: 20 minutes after intervention (block) |
| 33238043 | Derived | Guay J, Kopp S. Peripheral nerve blocks for hip fractures in adults. Cochrane Database Syst Rev. 2020 Nov 25;11(11):CD001159. doi: 10.1002/14651858.CD001159.pub3. |
| D007869 |
| Leg Injuries |
| D000577 |
| Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |