Comparing Ultrasound-Guided Supra-Inguinal vs Infra-Inguinal Fascia Iliaca Blocks for Easier Spinal Positioning and Pain Relief After Thigh and Knee Surgery

What this Trial Is About

The trial investigates severe pain management during thigh and knee surgeries, focusing on comparing two regional anesthesia techniques called supra-inguinal fascia iliaca block S-FIB and infra-inguinal fascia iliaca block I-FIB. These blocks aim to ease spinal positioning and provide postoperative pain relief. The study is a randomized controlled trial involving 60 patients aged 30 to 60 undergoing such surgeries, assessing pain control and patient satisfaction. Participants will be randomly assigned to one of two groups Group A receives the supra-inguinal fascia iliaca block with 30 ml of 0.125% bupivacaine, and Group B receives the infra-inguinal fascia iliaca block with the same dosage. Both blocks are performed under ultrasound guidance before surgery by experienced anesthesiologists. The blocks are administered using a sterile technique with specific ultrasound probe positioning to guide needle placement for precise drug delivery. During the study, patients pain levels are recorded at rest and on movement before and after the block using a numeric rating scale. Researchers will measure how easily patients can be positioned for spinal anesthesia, the duration of postoperative pain relief, and patient satisfaction using standardized scales. Monitoring includes heart rate, oxygen levels, and blood pressure during and after surgery. Follow-up pain assessments occur every 2 hours for 12 hours post-surgery, with rescue pain medication provided if needed.

Comparison of Supra vs Infra Inguinal Fascia Iliaca Blocks for Spinal Positioning and Analgesia in Lower Limb Surgery