Pericapsular Nerve Group (PENG) Block on Postoperative Pain Management After Acetabular Fracture Fixation

University of Puerto Rico70 enrolled

Overview

The goal of this clinical trial is to find out whether a Pericapsular Nerve Group (PENG) block, a type of nerve block used to control pain, can reduce pain after surgery in adults with an acetabular (hip socket) fracture who are undergoing surgical repair. The study will also evaluate the safety of the PENG block. The main questions this study aims to answer are: Does a PENG block reduce pain after surgery? Does a PENG block reduce the need for opioid pain medications after surgery? Are there any side effects or complications related to the PENG block? Researchers will compare patients who receive a PENG block with patients who do not receive a PENG block to determine whether the block improves pain control after surgery. Participants will: Be randomly assigned to receive either a PENG block or no PENG block before surgery while under general anesthesia. Undergo surgery to repair their acetabular fracture. Receive the same standard pain medications after surgery. Be asked to rate their pain at several time points after surgery using a standard pain scale. Have their use of pain medications, recovery, and any side effects recorded during their hospital stay and follow-up.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Acetabular Fractures

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient age 18 years or older * Acetabular Fracture amenable to surgery through the Kocher-Langenbeck approach * Full weight-bearing capacity prior to the trauma * Providing written informed consent Exclusion Criteria: * Age less than 18 years old * Fracture pattern not amenable to surgery through Kocher-Langenbeck approach * Lower extremity fracture ipsilateral to the acetabular fracture * Any traumatic injury that requires surgical management by other surgical specialty * Bilateral Acetabular Fractures * Limited weight bearing capacity prior to the trauma * Procedure performed under any anesthesia other than GETA * Chronic opioid use * History of Substance Abuse * Allergies or history of adverse reactions to any of the drugs used in the * Mental Disability * History of Psychiatric disorders

Outcomes

Primary Outcomes

Numeric Pain Rating Scale (NPRS)

The NPRS is an 11-point scale scored from 0-10, with " 0 " representing no pain and "10" being the most intense pain experienced. Patients verbally select a value that is most in line with the intensity of pain that they have experienced at each time point under evaluation.

Time frame: From surgery to 48 hours after surgery (12 hour Intervals)

Secondary Outcomes

Morphine Miligram Equivalent (MME)

MME is the total amount of an opioid drug converted to an equivalent strength of oral morphine. This measure is used to track the consumption of opioids in a standardized, uniform way.

Time frame: From surgery to 48 hours after surgery (12 hour Intervals)

Time to first opioid dose

Will measure in minutes the time that patient spent without consuming opioids before requesting their first rescue therapy (opioid) dose.

Time frame: From surgery to 48 hours after surgery (Will quantify from surgery to time of administration)

Postoperative Complications

Inpatient complications are unforeseen medical issues that arise during a hospital stay, potentially extending recovery time or requiring additional treatment.

Time frame: From surgery to 48 hours after surgery