الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Hip fractures, often from falls, require surgery and pose challenges for elderly patients with medical issues. Common types include femoral neck or intertrochanteric fractures, treated with prosthetic replacement or osteosynthesis. Effective postoperative pain management is crucial, impacting outcomes like increased heart rate, hypertension, respiratory difficulties, delayed ambulation, and chronic pain. Orthopedic surgeries cause moderate to severe postoperative pain, hindering mobility and worsening comorbidities. Analgesic options include oral medications, intravenous opioids, and peripheral nerve blocks. selective regional techniques like the fascia iliaca block and quadratus lumborum block are favored for potent pain relief and fewer systemic side effects. The fascia iliaca block is preferred for its ease of administration and superior analgesic profile in hip surgeries compared to the lumbar plexus block. Similarly, the quadratus lumborum block, a newer technique, offers effective pain relief with minimal nerve injury risk. These regional anesthesia advancements enhance pain management and patient outcomes in traumatic hip surgeries.
1. Study Objective: Compare efficacy of Transmuscular Quadratus Lumborum Block (QLB) and Suprainguinal Fascia Iliaca Block (FIB) in postoperative pain management for hip surgery patients.
2. Study Design: Conducted at Elhadara Alexandria University Hospital with 60 adult patients aged 40 to 70 years, randomized into QLB and FIB groups, with both patients and assessors blinded to group allocation.
3. Anesthesia and Assessment Protocols: Standardized anesthesia induction, preoperative pain education using Visual Analog Scale (VAS), ultrasound-guided administration of bupivacaine intraoperatively, and multimodal analgesic regimen postoperatively.
• Primary Outcome:
- Duration of postoperative analgesia.
• Secondary Outcomes:
- Hemodynamic changes.
- Time needed for block performance.
- Early mobility.
- Total opioid consumption.
- Technique-related complications.
4. Demographic Findings:
- Similar age ranges and BMI between groups, but notable gender distribution differences.
5. Cardiovascular Effects:
- FIB group showed lower heart rate at 12 hours post-operation.
- FIB group had higher MAP after anaesthesia induction but lower at 12 hours post-operation compared to QLB group