Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

Study Overview
=================
Brief Summary
-----------------
Fractures of the femur are common orthopaedic emergency especially in the geriatric population and central neuraxial blocks are the preferred technique for providing anaesthesia. However, limb immobility and extreme pain are the deterrents for ideal positioning for these procedures. postoperative pain is a nightmare so adequate analgesia has been advocated to reduce the pain. in this study, Facia Iliaca compartment block will be compared to anterior Quadratus lumborum block, both will be done Ultrasound-guided using Bupivacain0.25% for postoperative analgesia at the end of the surgery.

Detailed Description
-----------------
In this prospective, randomized, comparative study patients will be equally divided into two equal groups; GroupI: patients will receive Ultrasound-guided Facia Iliaca compartment block with 50 ml 0.25%bupivacaine at the end of surgery Group Q: patients will receive Ultrasound-guided anterior Quadratus lumborum block with 50 ml 0.25%bupivacaine at the end of surgery

Official Title
-----------------
A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture

Conditions
-----------------
Postoperative Pain

Intervention / Treatment
-----------------
* Procedure: Facia Iliaca block
* Procedure: Anterior Quadratus Lumbroum block
* Drug: bupivacaine


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: ASA II to IV Both sexes scheduled for fracture femur surgeries Exclusion Criteria: patients with bleeding disorders and coagulopathy infection at the injection site known allergy to local anaesthetics patients with multiple fractures patients with pre-existing myopathy or neuropathy patients with significant cognitive dysfunction patients who receive long-acting opioids preoperatively

Ages Eligible for Study
-----------------
Minimum Age: 50 Years
Maximum Age: 85 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group I: Facia Iliaca block<br>patients will receive Ultrasound-guided Facia Iliaca Block using bupivacaine 0.25% | Procedure: Facia Iliaca block<br>* patients will receive Ultrasound-guided Facia Iliaca block using 50 ml 0f Bupivacaine 0.25%<br>Drug: bupivacaine<br>* bupivacaine<br>|
| Active Comparator: Group Q: Anterior Quadratus lumbroum block<br>patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using bupivacaine 0.25% | Procedure: Anterior Quadratus Lumbroum block<br>* patients will receive Ultrasound-guided Anterior Quadratus Lumbroum block using 50 ml 0f Bupivacaine 0.25%<br>Drug: bupivacaine<br>* bupivacaine<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| first request of analgesia | the time the patient felt pain and asked for analgesics | 48 hours postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| total opioid consumption | total dose of fentanyl used | 48 hours postoperative |