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IRCT20141127020112N11 IRCT 2021-10-12 Iran University of Medical Sciences The effect of pericapsular block vs Iliaca fascia block on pain control after intertrochanteric fracture surgery. The comparison of the efficacy of ultrasonographic-guided pericapsular block vs fascia iliaca block for controlling pain after intertrochanteric fracture surgery 2021-09-23 anticipated 30 Complete https://irct.ir/trial/58598 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, we use the block randomization method so that after selecting patients according to the inclusion and exclusion criteria by selecting numbers from the table of random numbers and adapting to the blocks, patients are divided into study groups. To randomize the two treatment methods, we create 4 blocks in six different states, then select a number using the table of numbers, and determine the study groups by matching the numbers with the blocks. For example, if the first digit of our number is 1 to 6, select a block and the division is done, but if, for example, our number is 94071, the digit 9 is not valid and we select the next digit. Here, based on the block 4, we divide patients into groups. 1. TTCC 2. TCTC 3. TCCT 4. CCTT 5. CTCT 6. CTTC, Blinding description: In this study, people who are responsible for patient care and analysis of statistical data do not know about the treatment process and study groups, and information is provided to them in groups A and B. 3 intertrochanteric fracture. Intervention 1: Intervention group 1: After surgery and transfer of the patient to recovery and lowering the level of spinal anesthesia, to perform precapsular block, first the ultrasound probe is kept in the superior anterior path of the iliac spine and parallel to the inguinal ligament and gently towards the caudal It moves at the same angle. Immediately after the probe reaches the iliac spine inferior anterior, the sono probe is rotated toward the medial so that the upper pubis ramus is visible. In this case, we hold the sono probe fixed. 20cc Ropivacaine 0.25% (Molteni Farmaceutici)is injected at this site with a Spinal needle No. 22. Intervention 2: Intervention group 2 : In the Iliaca fascia block, under ultrasound guidance , the patient is placed in the supine position, the probe is placed transversely above the inguinal ligament and parallel to it. The needle is inserted laterally into the medial and 20 cc of Ropivacaine 0.25% (Molteni Farmaceutici) is injected between the iliac fascia and the iliac muscle. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Pooya Derakhshan
No 18, Yas St., Ghafari Ave.
Tehran Iran (Islamic Republic of) 8874113911 +98 56 3234 1410 pooyaderakh@yahoo.com Iran University of Medical Sciences scientific Pooya Derakhshan
No 18, Yas St., Ghafari Ave.
Tehran Iran (Islamic Republic of) 8874113911 +98 56 3234 1410 pooyaderakh@yahoo.com Iran University of Medical Sciences Iran (Islamic Republic of) Patients 40 to 80 years old are candidates for intertrochanteric fracture surgery. Patients with an anesthesia score of 1 to 3 40 years 80 years Both Candidates for emergency surgery History of rupivacaine allergy Liver and kidney problems S72.14 Intertrochanteric fracture of femur Treatment - Other Other Intervention group 1: After surgery and transfer of the patient to recovery and lowering the level of spinal anesthesia, to perform precapsular block, first the ultrasound probe is kept in the superior anterior path of the iliac spine and parallel to the inguinal ligament and gently towards the caudal It moves at the same angle. Immediately after the probe reaches the iliac spine inferior anterior, the sono probe is rotated toward the medial so that the upper pubis ramus is visible. In this case, we hold the sono probe fixed. 20cc Ropivacaine 0.25% (Molteni Farmaceutici)is injected at this site with a Spinal needle No. 22. Intervention group 2 : In the Iliaca fascia block, under ultrasound guidance , the patient is placed in the supine position, the probe is placed transversely above the inguinal ligament and parallel to it. The needle is inserted laterally into the medial and 20 cc of Ropivacaine 0.25% (Molteni Farmaceutici) is injected between the iliac fascia and the iliac muscle. Pain. Timepoint: After surgery. Method of measurement: Visual Analogue Scale. Satisfaction. Timepoint: After surgery. Method of measurement: Check list. Nausea and Vomiting. Timepoint: After surgery. Method of measurement: Check list. Iran University of Medical Sciences Approved 2021-04-21 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town Tehran Tehran Iran (Islamic Republic of)