Comparison Between Bupivacaine-Dexmedetomidine Versus Bupivacaine-Dexamethasone in Pericapsular Nerve Group (PENG) Block

Ain Shams University60 enrolled

Overview

The aim of this work is to compare the effectiveness of bupivacaine- dexmedetomidine mixture versus bupivacaine-dexamethasone mixture in PENG Block as Post-operative Analgesia in Hip surgeries

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hip Fractures Post Operative Pain

Interventions

Pericapsular Nerve Group (PENG) BlockDRUG

The PENG block will be performed ,the patient is placed in the supine position , the procedural leg is slightly abducted, the curvilinear low-frequency ultrasound probe will be placed over the line parallel to the inguinal ligament. It will subsequently rotated 45◦ to identify the anterior inferior iliac spine, the iliopubic eminence, and the psoas tendon. A 22-gauge, 80 mm echogenic needle will inserted in an in-plane approach to place the tip in the musculofascial plane between the pubic ramus posteriorly and the psoas tendon anteriorly. Following negative aspiration, by one of the two syringes each one has a serial number corresponding to each group.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 18-65 years. 2. Sex: Both sexes. 3. American Society of Anaesthesiologists (ASA) Physical Status Class I and II. 4. Scheduled for hip surgeries under spinal anaesthesia. Exclusion Criteria: 1. Declining to give written informed consent. 2. History of allergy to the medications used in the study. 3. Contraindications to regional anesthesia (including patient refusal, coagulopathy and local infection). 4. Psychiatric disorder. 5. American Society of Anesthesiologists (ASA) Physical Status Class III and IV.

Locations (1)

Ain Shams University

Cairo, Egypt

RECRUITING

Outcomes

Primary Outcomes

The time to the first request of analgesia

The time interval between the onset of the local infiltration done at the end of the operation and the first request to postoperative analgesia.

Time frame: 9 months

Secondary Outcomes

Total doses of analgesia (Nalbuphine) given to patients in 24 hours postoperatively

Time frame: 9 months

Occurrence of side effects of drugs.

Time frame: 9 months

Central Contacts

Mohamed AA Salama

CONTACT

+201006206630 m_adel92@hotmail.com

Data from ClinicalTrials.gov

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