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NCT Number: NCT07594366

Suprainguinal Facia Iliaca Block in Maximizing the Feasibility of Positioning for Spinal Anesthesia

In this study, we assessed the effect of suprainguinal facia iliaca block in maximizing the feasibility of positioning for spinal anaesthesia in patients with hip and proximal femur fractures by determining the angle that could be achieved and success rate of spinal anesthesia The control group received a sham block with the same technique of suprainguinal fascia iliaca block before being given spinal anaesthesia.

The interventional group received suprainguinal fascia iliaca block before being given spinal anaesthesia.

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Key information

Conditions

Spinal Anaesthetic Poisoning Spinal Anaesthesia

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Medicine, Suez Canal University

Ismailia, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients are ASA I (American Society of Anesthesiologists physical status grade I) = normal healthy patients, ASA II (American Society of Anesthesiologists physical status grade II) = patients with mild systemic disease and no functional limitations, or ASA III (American Society of Anesthesiologists physical status grade III) = patients with moderate systemic disease and some functional limitations.
  • Patients having hip and/or proximal femur fractures.

Exclusion criteria

  • Patient refusal to participate in the study
  • Patients' refusal for regional anaesthesia
  • Patients have other combined fractures rather than unilateral hip or proximal femur fractures.
  • Underlying coagulopathies.
  • Local infection.
  • Known allergy to LA.
  • Body mass index (BMI) more than 40 kg/m².
  • Heart block greater than first-degree.
  • Renal and hepatic dysfunction.
  • Neurological diseases such as Alzheimer's and dementia or apparent psychological instability.

Treatment and study plan

Bubpivacaine

Drug

Fascia iliaca compartment block (FICB) was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room with 30 ml of 0.5% bupivacaine.

normal saline

Drug

Sham block was performed at the pre-anaesthesia holding area 30 minutes before shifting the patients to the operation room with 30 ml normal saline.

Primary outcomes

  1. Degree of Fowler's position

    Time frame: 30 minutes after the fascia iliaca compartment block or sham block and till the full sitting position before spinal anaesthesia.

    Measure and compare the maximum tolerable degree of Fowler's position after fascia iliaca compartment block (FICB) and sham block in order to give spinal anaesthesia.

Sponsors and collaborators

Lead sponsor

Suez Canal University

Other

Registry information

Official study title

Effectiveness of Suprainguinal Facia Iliaca Block in Maximizing the Feasibility of Positioning for Spinal Anesthesia in Patients With Hip and Proximal Femur Fractures, a Placebo Randomized Controlled Study

Important dates

Study start
2022
Primary completion
2024
Study completion
2026
First posted
May 18, 2026
Registry last updated
May 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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