The Analgesic Efficacy of Dexmedetomidine Versus Fentanyl as an Adjuvant to Bupivacaine in Ultrasound Guided Peripheral Nerve Blocks as a Solo Anesthetic Technique in High Risk Patients Undergoing Unilateral Above Knee Amputation .
Recruiting
N/A
Interventional Study
Analgesia Assessment
Above Knee Amputation
Fentanyl vs Dexmedetomidine
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
At a Glance
- Age
- 18 and older
- Sex
- Any
- Study type
- Interventional
- Purpose
- Treatment
- Participants needed
- 64 (estimated)
- Sponsor
- Kasr El Aini Hospital · Other
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About This Trial
The aim of this study is to compare the analgesic efficacy and safety of dexmedetomidine versus fentanyl as adjuvants to bupivacaine in ultrasound-guided combined supra-inguinal fascia iliaca and proximal sciatic nerve blocks used as a solo anesthetic technique in high-risk patients undergoing unilateral above knee amputation.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* \- Age ≥18 years
* Both sexes
* ASA III-IV
* Documented cardiac disease (e.g., EF \< 40%, NYHA II or higher)
* Documented pulmonary disease (e.g., COPD with FEV1 \< 60%)
* Scheduled for above-knee amputations
Exclusion Criteria:
* Neurological or intellectual disability
* Dr…
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