Effect of Ultrasound Guided L1,L2 Paravertebral Block in Decrease the Requirements for Hypotensive Drugs During General Anesthesia in Patients Undergoing Hip Surgeries.

• Status: Completed
• Trial end date: 2018-05-15
• Target enrollment: 0
• Participant gender: All

Summary

The paravertebral block (PVB) is a block of the mixed nerve soon after it exits the intervertebral foramen.(2) It provides intense unilateral analgesia of long duration and has become the primary anesthetic for many applications.(3) Paravertebral Block (PVB) involves injection of local anaesthetic in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is being used increasingly for not only intra-operative and post-operative analgesia but also as a sole anaesthetic technique for carrying out various procedures. This popularity is mainly due to the ease of the technique and fewer complications.(4) The increasing demand for hip arthroplasties over the last decades has sparked the creation of new and innovative anesthetic techniques and analgesic pathways with the goal to support best possible outcomes among this frequently elderly patient population. As a result, today different perioperative treatment pathways are available to physicians and their patients. In this context, the focus has shifted to techniques based on regional anesthetic and analgesic techniques. This trajectory has been fueled by a number of advantages including effective, long-lasting and focused pain control, decreased need for systemic analgesics and earlier mobilization.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Cairo University
• Collaborators: Abdelhamid, Bassant Mohamed, M.D.; Bassant Mohamed Abdelhamid; Hala Mostafa Gomaa; Mohamed saeid Ali; Mohamed, Ahmed A., M.D.
• Treatments: Anesthetics; Antihypertensive Agents

Criteria

Inclusion Criteria:

Patients from 20 to 60 years.

• Genders eligible for study: both.

• ASA I-II.

• No contraindications for application of regional anesthesia as Patient refusal, local anesthetic, allergy, local sepsis or infection at puncture site, INR > 1.5 or < 12 hours post LMWH.

Exclusion Criteria:

1. Extremes of age.

2. ASA III-IV.

3. Hypovolemia.

4. Increased intracranial pressure.

5. Coagulopathy or thrombocytopenia less than 100000/ml.

6. Sepsis (increased risk of meningitis).

7. Infection at the puncture site.

8. Pre-existing neurologic disease.

9. Patient refusal.

10. History of allergy to local anesthetic.