The comparison of the efficacy of ultrasonographic-guided pericapsular block vs fascia iliaca block for controlling pain 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

This study is a clinical trial with a control group, double-blind, randomized, on 30 patients using block randomization method.

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% is injected at this site with a Spinal needle No. 22. 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% is injected between the iliac fascia and the iliac muscle. Also, for patients, an intravenous pain control pump containing fentanyl is placed and the request hours are recorded.

Inclusion criteria: Patients 40 to 80 years old, Patients with an anesthesia score of 1 to 3 Exclusion criteria: Candidates for emergency surgery, History of rupivacaine allergy, Liver and kidney problems

Intervention group: Pericapsular block in patients undergoing intertrochanteric fracture surgery Comparison group: Ilia fascia block in patients undergoing intertrochanteric fracture surgery

Pain, satisfaction, nausea and vomiting

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

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.