PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Completed

Conditions: Hip Fractures; Acute Post Operative Pain; Spinal Anesthesia; Nerve Block

Treatments: Diagnostic Test: Angle of sitting; Diagnostic Test: Numeric Rating Scale; Other: SIFI compartment block; Other: PENG Block

Study type: Observational

Funder types: Other

Identifiers

NCT05549011

326

Details and patient eligibility

About

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Full description

Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

Enrollment: 52 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults with a hip fracture
• who were scheduled to undergo surgery with spinal anesthetics
• has no neurologic disorders that impair cooperation (e.g dementia)
• has no true allergies to local anesthetics
• has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

Exclusion criteria

• Childer under the age of 18
• patients scheduled to undergo surgery with general anesthetics
• refusing to participate
• allergies to local anesthetics
• any neurologic disorder that impairs patient cooperation
• any contraindication to regional or neuraxial anesthetics

Trial design

52 participants in 2 patient groups

PENG block

Description:

This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia

Treatment:

Other: PENG Block

Diagnostic Test: Angle of sitting

Diagnostic Test: Numeric Rating Scale

SIFI block

Description:

This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia

Treatment:

Other: SIFI compartment block

Diagnostic Test: Angle of sitting

Diagnostic Test: Numeric Rating Scale