Comparison of Pericapsular Nerve Group Block With Suprainguinal Fascia Compartment Block in Hip Fractures

Karaman Training and Research Hospital38 enrolled

Overview

Ultrasound-guided Supra-inguinal Fascia Iliaca compartment Block (SIFCB) and Pericapsular Nerve Group Block (PENG) are increasingly being used for postoperative analgesia for hip surgery. The postoperative analgesic efficacy of SIFCB added to PENG block in elderly hip fracture patients will be evaluated. Postoperative opioid consumption and quality of recovery will also be evaluated.

The study was conducted as a retrospective cohort feasibility design within a tertiary hospital. Patient records and electronic data systems were used to gather the required data for analysis. Before surgery, a carefully selected cohort of patients who underwent PENG block and PENG block added SIFCB were included in the study.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hip Fractures

Interventions

PENG blockPROCEDURE

Patients underwent ultrasound-guided PENG Block for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.

PENG block+ SIFCBPROCEDURE

Patients underwent ultrasound-guided PENG Block+ SIFCB for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.

Eligibility

Sex: ALLMin age: 65 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Physical status according to American Society of Anesthesiologists (ASA ) I-III Exclusion Criteria: * Previous operation on the same hip * Hepatic or renal insufficiency * Patients undergoing general anesthesia * Allergy or intolerance to one of the study medications * BMI \>40 * ASA IV

Locations (1)

Karaman Training and Research Hospital

Karaman, Karaman/Merkez, Turkey (Türkiye)

Outcomes

Primary Outcomes

Opioid consumption

If the patient's Numerical Rating Scale (NRS) score is equal to or above 4, tramadol 50 mg IV or oxycodone 5 mg orally every 4 hours will be administered as rescue analgesia.

Time frame: Postoperative 48th hour

Secondary Outcomes

Numerical Rating Scale (NRS) scores

Range 0-10, 0=no pain, 10=the worse pain ever

Time frame: Postoperative 48th hour

Quality of Recovery 15 Score

Quality of Recovery (QoR)-15 survey.Minimum value: 0, Maximum value: 150, higher scores mean better

Time frame: Postoperative day 1 and 1 month

Postoperative complications

Presence of postoperative nausea, vomiting, pruritus, urinary retention, respiratory depression

Time frame: 24 hours

Mobilization time

Time frame: 24 hours

Data from ClinicalTrials.gov

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