PENG Block With Two Diffirent Volume

Samsun University

Status: Completed

Conditions: Postoperative Pain; Hip Fractures; Pain, Acute

Treatments: Other: Ultrasound guided PENG block with 30 mL Local Anesthetic solution; Other: Ultrasound guided PENG block with 20 mL Local Anesthetic solution

Study type: Interventional

Funder types: Other

Identifiers

NCT05358587

PENG_55

Details and patient eligibility

About

Hip fractures are morbid conditions, especially in elderly patients, and their treatment is usually surgical. Pericapsular nerve group block is a newly defined block and targets the hip capsule. The aim of this study is to investigate and compare the perioperative analgesic efficacy of PENG blocks applied in two different volumes in patients undergoing hip fracture surgery under spinal anesthesia.

Full description

Hip fractures are morbid conditions, especially in elderly patients, and their treatment is usually surgical. Pericapsular nerve group block is a newly defined block and targets the hip capsule. The aim of this study is to investigate and compare the perioperative analgesic efficacy of PENG blocks applied in two different volumes in patients undergoing hip fracture surgery under spinal anesthesia.

60 ASA I-III patients between 35-90 years of age who will be operated for femoral head/neck fractures will be included in the study. US-guided block procedure will be applied 30 minutes before the start of surgery. The patients will be divided into two groups, Group I, PENG block 20ml bupivacaine (n:30) and Group II, PENG block 30ml bupivacaine (n:30) using the closed envelope method in the operating room. Randomization will be performed by one of the researchers for each patient. Randomization information of patients will be used for all follow-up and data collection. The anesthetist applying the block will not take any part in collecting the data or performing the analysis. Numerical rating scale (NRS) will be used to evaluate pain. Patients will be given spinal anesthesia 30 minutes after PENG block. The primary outcome measure was determined as pain during positioning. NRS scores will be recorded after entering the operating room before, immediately before, during, and immediately after any analgesic intervention. Secondary outcome measures will be determined as the time required for LA performance (measured from the start of the position maneuvers to removal of the spinal needle), the quality of the patient position for LA performance ("unsatisfactory", "satisfactory", "good", "very good" to define SA). Questionnary 15 test will be applied to the patients 24 hours after the operation to measure patient satisfaction and to measure patient satisfaction.

Enrollment: 60 patients

Sex: All

Ages: 35 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled for total hip replacement surgery under spinal anesthesia
• ASA(American Society of Anesthesiology) 1-3
• Receiving consent that accept regional analgesia

Exclusion criteria

• contraindications for spinal anesthesia and PENG block
• impaired cognition or dementia
• multiple fractures

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

PENG (20 mL)

Experimental group

Description:

In this group, US guided PENG block will be performed with 20 ml of Bupivacaine solution (0.25 %)

Treatment:

Other: Ultrasound guided PENG block with 20 mL Local Anesthetic solution

PENG (30 mL)

Experimental group

Description:

In this group, US guided PENG block will be performed with 30 ml of Bupivacaine solution (0.25 %)

Treatment:

Other: Ultrasound guided PENG block with 30 mL Local Anesthetic solution