Evaluation of Pericapsular Nerve Group Block on Positioning Pain for Spinal Anesthesia in Hip Fracture Patients

Cigli Regional Training Hospital80 enrolled

Overview

The purpose of this study is to evaluate of analgesic effects of pericapsullar nerve group block which is performed preoperatively to assist positioning patients for performance of spinal anesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Pain, Acute

Interventions

PENG BlockPROCEDURE

Pericapsular Nerve Group Block

Conventional opioid analgesia (Fentanyl)DRUG

standardised intravenous opioid

Eligibility

Sex: ALLMin age: 35 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * hip fracture * aged between 35 and 90 years old Exclusion Criteria: * contraindications for spinal anesthesia and PENG block * impaired cognition or dementia * multiple fractures * any previous analgesic administration during the last 12 hours

Locations (1)

Hakan Aygün

Izmir, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain scores on the Numeric Rating Scale (NRS)

Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

Time frame: Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)

Secondary Outcomes

Duration of spinal anesthesia performance

It will be measured in "minutes", from the start of positioning maneuvers to the spinal needle removal

Time frame: Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)

Quality of patient's position

The position will be characterized as "unsatisfactory", "satisfactory", "good" or "very good"

Time frame: Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)

Analgesic consumption

In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.

Time frame: 24 hours

Data from ClinicalTrials.gov

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