PENG Block vs FNB + ONB in Patients Undergoing Hip Fracture Surgery With Contraindications to Neuraxial Anesthesia

Campus Bio-Medico University40 enrolled

Overview

The aim of the study is to demonstrate the efficacy of PENG block as the main anesthetic technique to manage perioperative analgesia for hip fracture surgery compared to femoral and obturator nerve block in patients with contraindications to spinal anesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hip Fractures Pain, Postoperative Coagulopathy Comorbidities and Coexisting Conditions

Interventions

PENG BLOCKPROCEDURE

Preoperative ultrasound guided PENG block (ropivacaine 0.5 % 20 mL)

Femoral Nerve BlockPROCEDURE

Preoperative ultrasound guided femoral nerve block (ropivacaine 0.5 % 15 mL)

Obturator Nerve BlockPROCEDURE

Preoperative ultrasound guided obturator nerve block (ropivacaine 0.5 % 5 mL)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients undergo hip surgery * patients with contraindications at spinal anesthesia Exclusion Criteria: * allergy at local anesthetic * age under 18 or weight under 30

Locations (1)

Campus Bio Medico

Roma, Italy

Outcomes

Primary Outcomes

preoperative pain

Preoperative pain score expressed by numerical rating scale 0-10

Time frame: 30 minutes

Pain following regional anesthesia

Preoperative pain score following regional anesthesia execution expressed by numerical rating scale 0-10

Time frame: 30 minutes

Postoperative pain

Postoperative pain score expressed by a numerical rating scale 0-10

Time frame: 24 hours

Secondary Outcomes

Morphine milligrams (mg) consumption

needed opioid rescue therapy

Time frame: 24 hours

Data from ClinicalTrials.gov

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