Pericapsular Nerve Group (PENG) Block Versus Lumbar Erector Spinae Plane Block

Zagazig University69 enrolled

Overview

assess and compare the efficacy of pericapsular nerve group block wersus lumber erector spinae plane block in reducing postoperative pain within the first 24 hours after hip surgeries.

after being informed about the study and potential risks. All patients giving written consent will be randomized by double blind manner into 3groups each one containing 23 patients ,PENG group (n =23 ): The patients will receive Pericapsular Nerve Group Block (PENG Block) before positioning for spinal anesthesia. ESPS group E (n =23 ): The patients will receive Lumbar Erector Spinae Plane Block before positioning for spinal anesthesia. Control group C(n =23 ): patients received spinal anesthesia without any block.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Pericapsular Nerve Group Block (PENG Block)Lumbar Erector Spinae Plane Block

Interventions

Pericapsular Nerve BlockPROCEDURE

regional anaesthia

Lumbar Erector Spinae Plane BlockPROCEDURE

regional anaesthia

FentanylDRUG

intavenous

Eligibility

Sex: ALLMin age: 65 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: Aged 65 to 75 years old. American Society of anesthesiologists physical status II and III. Body mass index of 25 to 30 kg/m2. Exclusion Criteria: Altered mental status. History of trauma or multiple fractures Uncontrolled hypertension and or diabetes. Coagulopathy. Preexisting advanced kidney, liver, or heart disease. Allergies or contraindications to the study drugs. Chronic use of opioids or corticosteroids.

Locations (1)

Aculty of Medicine,Zagazig University

Zagazig, Sharqia Province, Egypt

Outcomes

Primary Outcomes

the time to first postoperative rescue analgesia

the time to ask for the first postoperative analgesia (morphine) when the patient is reporting NRS ≥ 3

Time frame: 24 hours postoperative

Secondary Outcomes

Block performance time (min)

time from placement of ultrasound probe on the patient's skin to the end of local anesthetic injection

Time frame: immediately before surgery

onset of sensory block

the time between the end of the injection of local anesthetic (bupivacaine) and the loss of pin prick sensation using a sterile 25G needle in the operating field.

Time frame: after the block

pain intensity

using an 11point numeric rating scale (NRS)(11) : 0: no pain,10=worst imaginable pain) 1-3Mild Pain (nagging, annoying, interfering little with activities of daily living (ADLs). 4-6Moderate Pain (interferes significantly with activities of daily living(ADLs) 7-10Severe Pain (disabling; unable to perform ADLs) at rest and during movement (during45-degree passive flexion of the hip with the ipsilateral knee flexed)

Time frame: 30 minutes after the end of surgery ,3,6,12 hours postoperative.

The total dose of rescue analgesia

Time frame: 24 hours postoperative

adverse effects

nausea, vomiting ,hypotension ,bradycardia and hematoma

Time frame: 24 hours postoperative

Patient satisfaction

related to block performance, post-operative pain relief was evaluated by an 11- point satisfaction score (0=unsatisfied and 10 = most satisfied), and the score was divided as follows 0-3 (not satisfied), 4-6 (partly satisfied), and 7-10 (highly satisfied).

Data from ClinicalTrials.gov

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