Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Fascia Iliaca Compartment Block in Proximal End Femur Fractures, Does it Make a Difference?
Brief Summary: Fracture femur is a common injury which is associated with excruciating pain. Positioning for neuraxial blocks is always challenging because even slight overriding of the fracture ends is intensely painful .It can causing major patient distress which accompanied by well-known physiological sequelae such as sympathetic activation causing tachycardia, hypotension, and increased cardiac work that may compromise high-risk cardiac patients.

Fascia iliaca compartment block is highly effective in blocking lateral cutaneous nerve of the thigh and femoral nerve. Fascia iliaca compartment block is not only easy to perform but it is also associated with minimal risk as the local anesthetic is injected at a safe distance from the femoral artery and femoral nerve. It is always safe to perform the fascia iliaca compartment block prior to spinal anesthesia as the patient can respond during administration of the local anesthetic and can prevent intra-neuronal injections


Options:
A: Arm Label: fascia iliaca compartment block; Type: ACTIVE_COMPARATOR; Interventions: Drug: Ropivacaine, Device: Ultrasound | Arm Label: intravenous fentanyl; Type: ACTIVE_COMPARATOR; Interventions: Drug: Fentanyl | Intervention Type: DRUG; Name: Ropivacaine; Assigned to Arm(s): fascia iliaca compartment block | Intervention Type: DRUG; Name: Fentanyl; Assigned to Arm(s): intravenous fentanyl | Intervention Type: DEVICE; Name: Ultrasound; Assigned to Arm(s): fascia iliaca compartment block
B: Arm Label: Placebo; Type: PLACEBO_COMPARATOR; Interventions: Drug: Placebo, Device: Ultrasound guided fascia iliaca compartment block, Drug: Intrathecal medications (bupivacaine (15 mg) in conjunction with fentanyl 20 micrograms) | Arm Label: Bupivacaine; Type: ACTIVE_COMPARATOR; Interventions: Drug: Bupivacaine, Device: Ultrasound guided fascia iliaca compartment block, Drug: Intrathecal medications (bupivacaine (15 mg) in conjunction with fentanyl 20 micrograms) | Intervention Type: DRUG; Name: Placebo; Assigned to Arm(s): Placebo | Intervention Type: DRUG; Name: Bupivacaine; Assigned to Arm(s): Bupivacaine | Intervention Type: DEVICE; Name: Ultrasound guided fascia iliaca compartment block; Assigned to Arm(s): Bupivacaine, Placebo | Intervention Type: DRUG; Name: Intrathecal medications (bupivacaine (15 mg) in conjunction with fentanyl 20 micrograms); Assigned to Arm(s): Bupivacaine, Placebo
C: Arm Label: Compartment Block; Type: ACTIVE_COMPARATOR; Interventions: Drug: Ropivacaine, Drug: Epinephrine | Arm Label: Infiltration; Type: ACTIVE_COMPARATOR; Interventions: Drug: Ropivacaine, Drug: Epinephrine | Intervention Type: DRUG; Name: Ropivacaine; Assigned to Arm(s): Compartment Block, Infiltration | Intervention Type: DRUG; Name: Epinephrine; Assigned to Arm(s): Compartment Block, Infiltration
D: Arm Label: femoral group; Type: ACTIVE_COMPARATOR; Interventions: Procedure: femoral nerve catheter, Drug: femoral group | Arm Label: control group; Type: PLACEBO_COMPARATOR; Interventions: Procedure: femoral nerve catheter, Drug: control group | Intervention Type: PROCEDURE; Name: femoral nerve catheter; Assigned to Arm(s): control group, femoral group | Intervention Type: DRUG; Name: femoral group; Assigned to Arm(s): femoral group | Intervention Type: DRUG; Name: control group; Assigned to Arm(s): control group

Answer: B