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Investigators will compare FASCIA ILIACA BLOCK VERSUS INTRAVENOUS NALBUPHINE AS ANALGESIC METHOD BEFORE POSITIONING FOR SPINAL ANESTHESIA IN PATIENTS UNDERGOING SURGERY FOR HIP FRACTURES
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fascia ILIACA block | Active Comparator | We will compare this with nalbuphine |
|
| Nalbuphine | Active Comparator | We will compare this with fascia ILIACA block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacain | Drug | We will compare fascia ILIACA block with nalbuphine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score(VAS score) after 15 minutes of either intervention before spinal anesthesia | 15 minutes | |
| Quality of positioning for spinal anesthesia after 15 minutes of either intervention | Scale of 0-3 for hip flexion while sitting after either intervention 0=not satisfactory (poor hip flexion)
| 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of heart rate | Measured in beat per minute | 15 minutes |
| Assessment of blood pressure | Measured in mmHg | 15 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Liaquat National Hospital | Karachi | Pakistan |
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| Nalbuphine |
| Drug |
We will compare this with fascia ilaca block |
|
| Comfort of patient | Objective observational pain indicators reflecting the patient's acceptance and and tolerance of positioning. 0=calm
| 15 minutes |
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D009266 | Nalbuphine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |
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