Supra- versus infra-inguinal fascia iliaca blocks for easier spinal positioning and pain relief in lower limb surgery
Comparison For Ease Of Spinal Positioning & Duration Of Post-Op Analgesia Between Ultrasound Guided Supra-Inguinal Fascia Iliaca Block Vs Ultrasound Guided Infra-Inguinal Fascia Iliaca Block In Patients Undergoing Thigh & Knee Surgeries
This test will compare two ultrasound-guided fascia iliaca nerve blocks to see which helps adults aged 30–60 with thigh or knee fractures have less pain and easier positioning for spinal anesthesia.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 30 Years to 60 Years |
| Sex | All |
| Sponsor | Sahiwal medical college sahiwal Government |
| Locations | 1 site (Sāhīwāl, Punjab Province) |
| Trial ID | NCT07221682 on ClinicalTrials.gov |
What this trial studies
This is a randomized, controlled, double-blind (observer and patient-blinded) trial enrolling 60 adults undergoing thigh or knee surgery who meet inclusion criteria. Patients are randomized to receive either an ultrasound-guided supra-inguinal or infra-inguinal fascia iliaca block with 30 ml of 0.125% bupivacaine in the preoperative area. Blocks are performed under ultrasound guidance, and outcomes include ease of spinal positioning using the EOSP score, numeric pain rating scores at rest and on movement, hemodynamic events, and post-operative analgesia and patient satisfaction. Allocation uses computer-generated random numbers and sequentially numbered opaque envelopes to maintain concealment.
Who should consider this trial
Good fit: Adults aged 30–60 with ASA class I–III undergoing thigh or knee surgery who have painful fractures, can give informed consent, and have no contraindications to spinal anesthesia or peripheral nerve blocks.
Not a fit: Patients with coagulopathy, significant cognitive impairment, polytrauma, allergy to the study drugs, no pain when sitting without support, or other contraindications to spinal or peripheral nerve blocks, as well as those outside the age range, are unlikely to benefit.
Why it matters
Potential benefit: If successful, the preferred block technique could reduce pain during spinal positioning, improve post-operative pain control, and lower opioid requirements.
How similar studies have performed: Prior studies indicate fascia iliaca blocks can reduce pain and aid positioning, but direct randomized comparisons of supra- versus infra-inguinal approaches are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Both Genders (Male /Female). 2. Age between 30 years to 60 years. 3. ASA Class I, II, III. Exclusion Criteria: 1. Patient refusal 2. Other distracting painful pathology 3. Any contraindication to Spinal Anesthesia or peripheral nerve blocks 4. Coagulopathic disorders 5. Patients with significant cognitive impairment 6. Patients with no pain while sitting by themselves without any support 7. H/O polytrauma involving other limbs 8. H/O allergy to the drugs used in study
Where this trial is running
Sāhīwāl, Punjab Province
- Sahiwal Medical College Sahwal — Sāhīwāl, Punjab Province, Pakistan (Recruiting)
Study contacts
- Study coordinator: Dr Humaira Shahzadi, MBBS
- Email: humairaali2323@gmail.com
- Phone: 00923044128425
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.