PENG Block in Comparison With FICB for Hip Reconstruction in Children

Saint Petersburg State University, Russia

Status: Enrolling

Conditions: Perioperative Analgesia; Hip Dislocation, Developmental

Treatments: Procedure: Pericapcelar group nerve block; Procedure: Fascia iliaca compartment block

Study type: Interventional

Funder types: Other

Identifiers

NCT06210503

PENG vs FICB

Details and patient eligibility

About

The goal of this clinical trial is to test the hypothesis that performing a Pericapsular nerve group (PENG) block allows for more effective analgesia in the perioperative period during reconstructive surgery on the hip in children with cerebral palsy and spina bifida compared with Fascia illiaca compartment block (FICB).

Full description

The main question it aims to answer is: Is the PENG block an effective and safe method of pain relief for hip surgery in children? Participants will be randomized into two equal groups. The group who underwent US - guided PENG block, and the group who underwent US - guided FICB . In both groups we used 0.5% ropivacaine. The same postoperative analgesia regimen was applied by intravenous acetaminophen , oral ibuprofen . In case of ineffectiveness of the prescribed drugs, promedol was used intramuscularly. The postoperative consumption of promedol, time to first rescue analgesia, numerical pain score (NRS) (for children from 7 years old), FLACC score, measurements of A.N.I. monitor MDMS and the side effects will be recorded

Enrollment: 86 estimated patients

Sex: All

Ages: 3 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• reconstructive surgery on the hip joint
• children with cerebral palsy
• children with spina bifida
• age 3 - 18 years.

Exclusion criteria

• contraindications to the use of local anesthetics
• contraindications to performing an invasive procedure
• ASA > 3

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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86 participants in 2 patient groups

PENG group

Active Comparator group

Description:

The patient will undergo pericapsular nerve blockade with 0.5% ropivacaine based on 3 mg/kg ropivacaine using ultrasound scanning.

Treatment:

Procedure: Pericapcelar group nerve block

FICB group

Active Comparator group

Description:

The patient will undergo FICB with 0.5% ropivacaine based on 3 mg/kg ropivacaine using ultrasound scanning.

Treatment:

Procedure: Fascia iliaca compartment block