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| Name | Class |
|---|---|
| Universiti Kebangsaan Malaysia Medical Centre | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fascia iliaca compartment block | Active Comparator | Patient will receive 40ml of ropivacaine 0.375% at the fascia iliaca compartment under the guidance of ultrasound. It will be given 20 minutes before patient is positioned for spinal anaesthesia |
|
| intravenous fentanyl | Active Comparator | Patient will receive 0.5 mcg/kg of intravenous fentanyl. It will be given 5 minutes before patient is positioned for spinal anaesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ropivacaine | Drug | Fascia iliaca compartment block using ropivacaine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score during positioning | Pain score is assessed using Visual Analogue Scale (VAS) score | Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl) |
| Measure | Description | Time Frame |
|---|---|---|
| Ease of positioning for spinal anaesthesia | It will be characterized as 'very difficult', 'difficult', 'easy' and 'very easy' | Group 1: 20 minutes after intervention (block), Group 2: 5 minutes after intervention (fentanyl) |
| Patient satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raha Abdul Rahman, MBBS | Universiti Kebangsaan Malaysia Medical Centre | Study Chair |
| Azrin Mohd Azidin, MBBS | Kuala Lumpur General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kuala Lumpur General Hospital | Kuala Lumpur | Kuala Lumpur | 50586 | Malaysia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25068412 | Result | Diakomi M, Papaioannou M, Mela A, Kouskouni E, Makris A. Preoperative fascia iliaca compartment block for positioning patients with hip fractures for central nervous blockade: a randomized trial. Reg Anesth Pain Med. 2014 Sep-Oct;39(5):394-8. doi: 10.1097/AAP.0000000000000133. | |
| 19650803 | Result | 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. |
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| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D007869 | Leg Injuries |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| D005283 | Fentanyl |
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Fentanyl |
| Drug |
Intravenous fentanyl |
|
| Ultrasound | Device | Ultrasound-guided fascia iliaca compartment block |
|
Patient will be asked whether they will choose the same analgesic technique in the event of future operation : 'yes' or 'no'.
| 24 hours after intervention |
| Adverse effects | Up to 24 hours of intervention |
| 23789738 | Result | Newman B, McCarthy L, Thomas PW, May P, Layzell M, Horn K. A comparison of pre-operative nerve stimulator-guided femoral nerve block and fascia iliaca compartment block in patients with a femoral neck fracture. Anaesthesia. 2013 Sep;68(9):899-903. doi: 10.1111/anae.12321. Epub 2013 Jun 21. |
| 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. |
| D000588 |
| Amines |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |