Comparing Pain Relief After Hip Fracture Surgery Using Two Ultrasound-Guided Nerve Block Techniques Suprainguinal Fascia Iliaca Block vs. Quadro-Iliac Plane Block

What this Trial Is About

Hip fractures are common among older adults and often lead to serious health problems, including increased risk of complications and death. Managing pain effectively soon after surgery is important to help patients move early, reduce lung problems, and improve recovery. This research compares two types of nerve blocks, the suprainguinal fascia iliaca block SIFI and the quadro-iliac plane block QIPB, which are techniques used to reduce pain after hip fracture surgery. The study involves patients undergoing hip fracture surgery who will receive one of two ultrasound-guided nerve blocks before surgery. The SIFI block targets nerves around the hip by injecting local anesthetic near the anterior superior iliac spine, while the QIPB targets a broader area near the L3 vertebra involving several nerve branches. Both procedures use a similar dose of bupivacaine and are performed with sterile techniques. The aim is to compare how well each block controls pain and reduces the need for opioid painkillers after surgery. Participants will be closely monitored for pain levels using a numeric rating scale during the first 24 hours after surgery. Researchers will also track opioid use, mobility, and potential side effects. Assessments include pain ratings and the ability to use pain control devices. The study begins with screening and continues through surgery and recovery, with all procedures done under medical supervision. The total participation time covers the preoperative block and 24 hours post-surgery assessment for pain control effectiveness.

Comparison of Analgesic Efficacy of Suprainguinal Fascia Iliaca and Quadro-iliac Blocks in Hip Fracture Surgery