Femoral Nerve Block vs Peri-capsular Nerve Group Block for Hip Fracture Analgesia

Antalya Training and Research Hospital52 enrolled

Overview

The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia

Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Enrollment

Conditions

Spinal Anesthesia Analgesia Hip Fractures

Interventions

femoral nerve blockOTHER

Patients will be performed a femoral nerve block using bupivacaine thirty minutes before the performing of spinal block.

peri-capsular nerve group blockOTHER

Patients will be performed a peri-capsular nerve group block using bupivacaine thirty minutes before the performing of spinal block.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients with hip fracture scheduled for surgery under spinal anesthesia. Exclusion Criteria: * hemorrhagic diathesis, * peripheral neuropathy, * allergy to local anesthetics, * mental disorders, * use of analgesics for 8 h before the performance of spinal block

Locations (1)

Antalya Training and Research Hospital

Antalya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia

Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain).

Time frame: 30 minutes

Secondary Outcomes

Rate of pain scores at rest

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance.

Time frame: 30 min

Rate of pain scores on passive limb lifting

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance.

Time frame: 30 min

rate of postoperative pain scores

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively.

Time frame: 24 hours

Amount of postoperative analgesic consumption

Postoperative analgesic consumption will be recorded for postoperative 24 hours

Time frame: 24 hours

Data from ClinicalTrials.gov

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