PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization52 enrolled

Overview

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hip Fractures Acute Post Operative Pain Nerve Block Spinal Anesthesia

Interventions

PENG BlockOTHER

PENG block for analgesic purposes performed before hip surgery

SIFI compartment blockOTHER

SIFI compartment block for analgesic purposes performed before hip surgery

Numeric Rating ScaleDIAGNOSTIC_TEST

Self-reported pain intensity score between 0-10

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults with a hip fracture * who were scheduled to undergo surgery with spinal anesthetics * has no neurologic disorders that impair cooperation (e.g dementia) * has no true allergies to local anesthetics * has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis) Exclusion Criteria: * Childer under the age of 18 * patients scheduled to undergo surgery with general anesthetics * refusing to participate * allergies to local anesthetics * any neurologic disorder that impairs patient cooperation * any contraindication to regional or neuraxial anesthetics

Locations (1)

Prof. Dr. Cemil Taşcıoğlu City Hospital

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS)

NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible

Time frame: 30 minutes after the block is placed

Secondary Outcomes

Sitting angle during positioning

Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia

Time frame: 30 minutes after the block is placed

Postoperative pain with 10-point numeric rating scale (NRS)

Time frame: Postoperative day 1

Data from ClinicalTrials.gov

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