Comparison of the effect of femoral blockade of lidocaine and ketamine with lidocaine and dexamethasone on pain relief after femoral fracture surgery

Comparing the effects of lidocaine femoral block with lidocaine and ketamine with lidocaine and dexamethasone on pain reduction after hip fracture surgery. Using the results of the study in order to use a more appropriate drug in femoral block, reducing postoperative pain in patients, reducing the use of narcotic drugs to reduce postoperative pain.

Clinical trial with a control group, with parallel groups, double-blind, randomized, phase 3 on 60 patients. Computer generated random numbers were used for randomization.

In the operating rooms of Ahvaz Golestan Hospital, after hip fracture surgery, patients are divided into 3 groups before transfer to recovery and femoral block is performed for them.

Entry requirements: All people who have undergone hip fracture surgery and are between 18 and 75 years old; Conditions of non-entry: people with history of seizures, history of drug allergy, history of coagulation disorders, drug addiction

After the end of the surgery and before the patient is transferred to the recovery room, he is placed under femoral block. The first group receives lidocaine and ketamine intravenously, the second group receives lidocaine and dexamethasone intravenously, and the third group or the control group only receives lidocaine intravenously.

Pain level based on VAS criteria, pain-free duration after surgery

The randomly entered patients will be divided into 3 groups with a ratio of 1:1:1 using a table of random numbers generated by the computer. The distribution results will be sealed in an envelope and kept by the research director. On the day of the operation, the main researcher will hand over the envelope to the anesthesia assistant to prepare the test liquid (blocking drug). In fact, the patients and the anesthesia assistant will be blinded to the nature of the type of anesthetic.

The randomly entered patients will be divided into 3 groups with a ratio of 1:1:1 using a table of random numbers generated by the computer. The distribution results will be sealed in an envelope and kept by the research director. On the day of the operation, the main researcher will hand over the envelope to the anesthesia assistant to prepare the test liquid (blocking drug). In fact, the patients and the anesthesia assistant will be blinded to the nature of the type of anesthetic.

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