Study of H-FICB ＆ PENG Block in Elderly Patients' THA on the Post-operative Quality of Recovery

Affiliated Hospital of Nantong University

Status: Enrolling

Conditions: Quality of Recovery; Nerve Block

Treatments: Procedure: ultrasound-guided high fascia iliaca compartment block; Procedure: ultrasound-guided pericapsular nerve group (PENG) block

Study type: Interventional

Funder types: Other

Identifiers

NCT05528822

2021-K090

Details and patient eligibility

About

Total joint replacement is projected to become the most common elective surgical procedure in the coming decade; the prevalence of total hip arthroplasty (THA) was estimated as more than 2.5 million individuals in the entire United States population. Orthopedic procedures involving the hip have remained challenging for regional anesthesia given the complex innervation, painful nature contributing to difficulty positioning, and a desire to maintain mobility to hasten postoperative recovery.

Full description

By comparing the intraoperative and postoperative rehabilitation indexes of high fascia iliac nerve block and hip pericapsular nerve block, we can choose a more suitable analgesic method for this operation.

Enrollment: 100 estimated patients

Sex: All

Ages: 65 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 65 to 80 years male and female
• Scheduled for elective single-incision laparoscopic cholecystectomy
• The patients volunteered to participate in the study and signed the informed consent

Exclusion criteria

• Preexisting neuropathy
• Coagulopathy
• Local skin infection
• Hepatic, renal or cardiorespiratory failure
• Local anesthetic allergy
• Pregnancy
• Complications of gallstone with gallbladder perforation
• Diffuse peritonitis
• Acute pyogenic cholangitis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Group F: H-FICB under ultrasound guidance before general anesthesia

Experimental group

Description:

Group F was subjected to a high fascia iliaca compartment block under ultrasound guidance before general anesthesia.

Treatment:

Procedure: ultrasound-guided high fascia iliaca compartment block

Group P: PENG block under ultrasound guidance before general anesthesia

Experimental group

Description:

Group P was subjected to a pericapsular nerve group (PENG) Block under ultrasound guidance before general anesthesia.

Treatment:

Procedure: ultrasound-guided pericapsular nerve group (PENG) block