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IRCT20191114045435N1 IRCT 2021-02-17 Shahid Beheshti University of Medical Sciences Comparison of Quadratus and Fascin illiaca nerve blocks in acetabulum fracture surgery Comparative study of Quadratus lumborum and Fascin illiaca nerve blocks on intraoperative narcotic use and postoperative analgesia criteria in acetabulum fracture surgeries by Stoppa method 2020-08-22 anticipated 40 Complete https://irct.ir/trial/52899 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other. N/A Acetabular fracture surgeries. Intervention 1: first Intervention group: Fascialiaka Block Group (FIB): In the supine position, after sterilizing the operation and performing cutaneous anesthesia, 2 cc of 1% lidocaine is injected at the site of the block. To perform nerve block, a high-frequency linear probe (10-25 MHz) of the ultrasound device (S-Nerre Sonosite) is used, which is placed horizontally in the inguinal region and in-plane with a needle (22 G, 80 mm). stimuplex ultra 360 °) B Braun is injected at a rate of 0.3 ml / kg and a maximum of 30 ml of 0.5% rupivacaine (manufactured by Molteni) with direct vision between the iliac fascia and the iliopsoas muscle. Intervention 2: Second Intervention group: QL group: In the supine position, a cloth roll is placed in the lumbar spine to lift the hip into the block entry area. After sterilizing the solution and performing skin anesthesia with a 2 cc lidocaine syringe needle, a 1% high-frequency linear probe (10-25 MHz) is inserted between the Costa Margin iliac crest at the anterior axillary line. The goal is to find the three abdominal anterolateral muscles (external oblique, internal oblique, and abdominis transverse). By moving the probe towards the posterolateral and with the disappearance of the abdominis transversal muscle and its aponeurosis being identified in the axillary posterior line, the quadratus rubrum muscle can be found, which is characterized as a hypovaco area of ​​hypercoa aponeurosis. In this study, Curanasus lumburum 1 (QL1) or lateral Quartus lumbumum block is used, which with the help of needle (22 G, 80 mm, stimuplex ultra 360 °) B Braun rupivacaine 0.5% at a rate of 0.3 ml / g and A maximum of 30 ml is performed at the lateral termination site of the abdominis transverse muscle with precise hyperdissection. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Sara Shayegh
Yemen Street, Velenjak, Chamran Highway,
Tehran Iran (Islamic Republic of) 19839 69411 +98 21 2990 8040 Shayegh@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Sara Shayegh
Yemen Street, Velenjak, Chamran Highway
Tehran Iran (Islamic Republic of) 19839 69411 +98 21 2990 8040 Shayegh@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Age 20 to 75 years ASA Class I and II Acetabular fractures Elective surgery by Stoppa method Lack of sensitivity to topical anesthetic drugs No psychiatric diseases No drug or psychedelic addiction No fractures associated with trauma to other areas of the body Patients weighing less than 85 kg 20 years 75 years Both History of acetabular fracture surgery S32.409 Unspecified fracture of unspecified acetabulum Treatment - Surgery Treatment - Surgery first Intervention group: Fascialiaka Block Group (FIB): In the supine position, after sterilizing the operation and performing cutaneous anesthesia, 2 cc of 1% lidocaine is injected at the site of the block. To perform nerve block, a high-frequency linear probe (10-25 MHz) of the ultrasound device (S-Nerre Sonosite) is used, which is placed horizontally in the inguinal region and in-plane with a needle (22 G, 80 mm). stimuplex ultra 360 °) B Braun is injected at a rate of 0.3 ml / kg and a maximum of 30 ml of 0.5% rupivacaine (manufactured by Molteni) with direct vision between the iliac fascia and the iliopsoas muscle. Second Intervention group: QL group: In the supine position, a cloth roll is placed in the lumbar spine to lift the hip into the block entry area. After sterilizing the solution and performing skin anesthesia with a 2 cc lidocaine syringe needle, a 1% high-frequency linear probe (10-25 MHz) is inserted between the Costa Margin iliac crest at the anterior axillary line. The goal is to find the three abdominal anterolateral muscles (external oblique, internal oblique, and abdominis transverse). By moving the probe towards the posterolateral and with the disappearance of the abdominis transversal muscle and its aponeurosis being identified in the axillary posterior line, the quadratus rubrum muscle can be found, which is characterized as a hypovaco area of ​​hypercoa aponeurosis. In this study, Curanasus lumburum 1 (QL1) or lateral Quartus lumbumum block is used, which with the help of needle (22 G, 80 mm, stimuplex ultra 360 °) B Braun rupivacaine 0.5% at a rate of 0.3 ml / g and A maximum of 30 ml is performed at the lateral termination site of the abdominis transverse muscle with precise hyperdissection. Morphine intake. Timepoint: 6, 12 and 24 hours after the operation. Method of measurement: Patient file information. Postoperative analgesia. Timepoint: 6, 12 and 24 hours after the operation. Method of measurement: Patient file information. Fentanyl used during surgery. Timepoint: During the surgery. Method of measurement: observation. The amount of morphine consumed. Timepoint: 24 hours after surgery. Method of measurement: observation. Blood pressure. Timepoint: during surgery. Method of measurement: Blood pressure monitor. Heart beat. Timepoint: during surgery. Method of measurement: heart beat monitoring. Shahid Beheshti University of Medical Sciences Approved 2020-09-01 Ethics Committee of Shahid Beheshti University of Medical Sciences Yemen Street, Shahid Chamran Highway, Tehran Tehran Tehran Iran (Islamic Republic of)