Does Adding Posterior Block to SFIB Increase the Quality of Analgesia in Hip Fractures?

Samsun University

Status: Completed

Conditions: Hip Surgery; Acute Pain Management

Treatments: Other: Suprainguinal fascia iliaca compartment block; Other: Deep Posterior Gluteal Compartment Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06839742

OMUKAEAK 2024/276

Details and patient eligibility

About

The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.

Full description

Adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block applied before neuraxial anesthesia in hip fracture surgeries can reduce the pain sensation originating from the posterior region of the hip joint. Thus, participants can experience less pain in the perioperative period, consume less analgesics and reduce complications related to these in the postoperative period. In addition, possible complications can be prevented with early mobilization of the participants. It was aimed to compare the effects of adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block with only Suprainguinal Fascia Iliaca Block on these results.

Enrollment: 68 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteering to participate in the study
• Patients between the ages of 18-90
• ASA I, II, III
• Patients whose surgery duration does not exceed 2 hours
• Patients who will undergo surgery under spinal anesthesia

Exclusion criteria

• Patients who do not want to participate in the study/do not give consent
• Patients with a condition that prevents regional anesthesia
• Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device)
• History of hypersensitivity or allergy to local anesthetics
• Patients with psychiatric disorders and those using psychiatric medications
• Presence of hematological disease
• Presence of oncological disease
• Patients with serious major organ failure
• Presence of multiple fractures
• Patients with alcohol or drug addiction
• Patients who have used analgesic drugs up to 12 hours before surgery
• ASA IV-V patients
• Morbidly obese patients

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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68 participants in 2 patient groups

Group SFICB

Active Comparator group

Description:

Suprainguinal fascia iliaca plane block will be performed 30 minutes before hip surgery

Treatment:

Other: Suprainguinal fascia iliaca compartment block

Group Combined

Active Comparator group

Description:

Suprainguinal Fascia İliaca plane Block will be performed 30 minutes before hip surgery and Deep Posterior Gluteal Compartment Block will be performed 20 minutes before hip surgery

Treatment:

Other: Deep Posterior Gluteal Compartment Block

Other: Suprainguinal fascia iliaca compartment block