Evaluating Ultrasound-Guided Deep Iliacus Plane Block for Pain Relief After Hip Fracture Surgery in Adults

What this Trial Is About

Hip fracture surgery often leads to moderate to severe pain after the operation, which can slow down recovery and increase the need for opioid painkillers. Researchers are evaluating the effectiveness of the deep iliacus plane block, a new ultrasound-guided anesthesia technique aimed at reducing pain by targeting nerves around the hip. This randomized, double-blind, sham-controlled trial focuses on adults undergoing hip fracture surgery with spinal anesthesia to see if this block reduces opioid use. Participants will be randomly assigned after surgery to receive either the deep iliacus plane block with local anesthetic or a sham block using normal saline. Both groups will have spinal anesthesia during surgery and receive the same standardized pain control after surgery, including patient-controlled intravenous tramadol. The block involves using ultrasound to guide needle placement near the hip to deliver the anesthetic or saline. This study will compare pain relief and opioid consumption between the two groups. During the study, participants will be monitored with standard vital sign checks and pain assessments up to 24 hours after surgery. Researchers will measure opioid use, pain scores at rest and movement, need for additional pain medication, sensory changes, motor effects, side effects like nausea, patient satisfaction, and recovery quality. Sensory testing will occur about two hours after surgery to assess the block effect. The study aims to provide detailed information on how well the block controls pain and its impact on recovery and opioid requirements.

Analgesic Efficacy of Ultrasound-Guided Deep Iliacus Plane Block in Patients Undergoing Hip Fracture Surgery