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Proximal femur fractures are one of the commonest fractures especially in the elderly population. Early surgical fixation is the best analgesic for associated pain. Spinal anesthesia has been favored by many anesthesiologists due to the simplicity of the technique, the better analgesic profile, and the lower incidence of complications like delirium and thromboembolic events. However, severe pain, encountered during positioning for spinal anesthesia, can complicate the technique and worsen the patient experience.
the study aim to compare the analgesic effect of intravenous dexmedetomidine and fascia iliaca block preoperatively to assist positioning patients for performance of spinal anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| facia iliaca block | Experimental |
| |
| Precedex and ketamine | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound guided facia iliaca block | Device | Patient will received ultrasound guided fascia iliaca block by 20 ml Bupivacaine 0,25% . |
|
| Measure | Description | Time Frame |
|---|---|---|
| Behavioral pain scale | 0 = calm, 1 = facial grimacing, 2 = moaning, 3 = screaming, and 4 = unable to proceed because of restlessness or agitation | during spinal anesthesia |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of patient's position | 0 = poor hip flexion, 1 = satisfactory hip flexion, 2 = good hip flexion, and 3 = optimal hip flexion | before spinal anesthesia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| hassan m. hetta, lecturer | Contact | 1010901114 | 0020 | hassan.hetta@mu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| hassan m. hetta, lecturer | Minia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minia University Hospital | Recruiting | Minya | 61511 | Egypt |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
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| ID | Term |
|---|---|
| D007260 | Infusion Pumps |
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
| D001187 | Artificial Organs |
| D013523 | Surgical Equipment |
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| Intravenous drug | Drug | Patient will received intravenous injection of precedex 0.25mic/Kg and ketamine 0,2 mg/kg . |
|
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |