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This study is comparing the effect of lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics
Different groups receive different interventions at same time during study. patients were randomly allocated in two groups :
Group A: lumbar plexus block using shamrock technique by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.
Group B: Fascia iliaca block by 0.3 ml/kg of 0.5% bupivacaine with 1:200000 adrenaline.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ultrasound guided lumbar plexus block | Active Comparator | patients were recieved lumbar plexus block ultrasound guided by shamrock technique using 0.5% bupavacaine in a dose 0.3ml/kg |
|
| ultrasound guided Fascia iliaca block | Active Comparator | patients were received fascia iliaca block ultrasound guided using 0.5% bupoavacaine in a dose 0.3ml\kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bupivacaine 0.5% with 1:200000 adrenaline | Procedure | regional anesthesia to block lumbar plexus for analgesia of lower limb |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of postoperative analgesia | each patient was assessed by visual analogue scale which consists of a 10 cm line with one end labelled "no pain" and the other end labelled "worst pain imaginable". The patient marks the line at the point that best describes the pain intensity | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Compare effects of both groups on mean arterial blood pressure | monitoring of blood pressure using non invasive blood pressure measurement in millimeter mercury | intraoperative and 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| compare their effects on heart rate (beat\minute) | monitoring of heart rate using pulse oximetry in beat\minute | intraoperative and 24 hours |
| Complication rate for procedures in the form of local anesthetic toxicity |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ahmed abd elraof, professor | faculty of medicine, anesthesia department | Study Chair |
| Ezz elden saleh, professor | faculty of medicine, anesthesia department | Study Chair |
| sadek abdelmasih, lecturer | faculty of medicine, anesthesia department | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahmed hashem | Cairo | Assistant Lecturer | 002 | Egypt |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D004837 | Epinephrine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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This study is comparing the effect of Lumbar plexus block and fascia iliaca block with general anesthesia to provide perioperative pain control and compare their effects on hemodynamics.
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sealed opaque envelop
observation of occurrence of local anesthetic toxicity as hypotension, seizures, bradycardia
| Intraoperative monitoring |
| D000588 |
| Amines |
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D002395 | Catecholamines |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |