The Effect of Facial Plane Blocks on Postoperative Recovery Quality in Hip Surgery

Antalya Training and Research Hospital

Status: Enrolling

Conditions: Hip Fracture

Treatments: Other: Control group; Other: Femoral block group; Other: FIC block group; Other: PENG block group

Study type: Observational

Funder types: Other

Identifiers

NCT06389279

2023-18/11

Details and patient eligibility

About

The aim of this study was to evaluate the effect of ultrasound-guided pericapsular nerve block, fascia iliaca compartment block, and femoral block on the quality of recovery as part of multimodal analgesia before hip surgery under spinal anesthesia.

Full description

Orthopedic procedures have become increasingly common in clinical practice. With the increasing elderly population, there have been significant developments in recent years in the field of perioperative pain management and anesthesia strategies for patients scheduled for hip surgery. Patients undergoing hip surgery may experience severe pain both postoperatively and during the positioning of the patient during surgery. This leads to increased sympathetic activation such as tachycardia and hypertension in patients, especially in the elderly population, and some undesirable complications due to the patients' existing comorbidities. Therefore, pain management strategies for patients undergoing hip surgery are based on a range of anesthesia techniques, including the use of opioids, neuraxial anesthesia (spinal, epidural, or a combination of them), nerve blocks, especially pericapsular nerve block (PENG), fascia iliaca compartment block (FICB) and femoral block). Reducing patients' pain and improving the quality of postoperative recovery has become increasingly important. The Quality of Recovery-15 (QoR-15) is a 15-question questionnaire validated to assess postoperative recovery. This questionnaire assesses patients' pain, physical comfort, physical independence, psychological support, and emotional status in the early postoperative period. The aim of this study was to evaluate the effect of ultrasound-guided PENG block, FICB block, and femoral block on the quality of recovery as part of multimodal analgesia before hip surgery under spinal anesthesia.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• elective hip fracture,
• 18-85 years
• American Society of Anaesthesiology (ASA) I-III

Exclusion criteria

• patients planned for general anesthesia
• with multiple fractures
• bleeding disorder
• peripheral neuropathy
• mental disorder
• local anesthetic allergy
• contraindications for spinal anesthesia (local infection, etc.)
• declining to give written informed consent

Trial design

80 participants in 4 patient groups

PENG block group

Description:

Before the spinal anesthesia, PENG block will be performed under the guidance of ultrasound.

Treatment:

Other: PENG block group

FIC block group

Description:

Before the spinal anesthesia, FIC block will be performed under the guidance of ultrasound.

Treatment:

Other: FIC block group

Femoral block group

Description:

Before the spinal anesthesia, femoral block will be performed under the guidance of ultrasound.

Treatment:

Other: Femoral block group

Control group

Description:

No intervention

Treatment:

Other: Control group