Comparison of Pericapsular Nerve Group Block With Suprainguinal Fascia Compartment Block in Hip Fractures

Hip Fractures Clinical Trial

Official title:

Comparison of Pericapsular Nerve Group (PENG) Block Alone Versus Combined With Suprainguinal Fascia Compartment Block (SIFCB) for Postoperative Analgesia and Quality of Recovery in Older Adult Patients With Hip Fractures

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06169462
• Other study ID #: 10-2023/17
• Status: Completed
• Start date: January 31, 2023
• Est. completion date: December 10, 2023

Study information

• Verified date: December 2023
• Source: Karaman Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Ultrasound-guided Supra-inguinal Fascia Iliaca compartment Block (SIFCB) and Pericapsular Nerve Group Block (PENG) are increasingly being used for postoperative analgesia for hip surgery. The postoperative analgesic efficacy of SIFCB added to PENG block in elderly hip fracture patients will be evaluated. Postoperative opioid consumption and quality of recovery will also be evaluated.

Description:

The study was conducted as a retrospective cohort feasibility design within a tertiary hospital. Patient records and electronic data systems were used to gather the required data for analysis. Before surgery, a carefully selected cohort of patients who underwent PENG block and PENG block added SIFCB were included in the study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: December 10, 2023
• Est. primary completion date: September 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years to 90 Years

Eligibility

Inclusion Criteria:

• Physical status according to American Society of Anesthesiologists (ASA ) I-III

Exclusion Criteria:

• Previous operation on the same hip

• Hepatic or renal insufficiency

• Patients undergoing general anesthesia

• Allergy or intolerance to one of the study medications

• BMI >40

• ASA IV

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures

Intervention

Procedure:
• PENG block
Patients underwent ultrasound-guided PENG Block for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.
• PENG block+ SIFCB
Patients underwent ultrasound-guided PENG Block+ SIFCB for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.

Locations

Country	Name	City	State
Turkey	Karaman Training and Research Hospital	Karaman	Karaman/Merkez

Sponsors (1)

Lead Sponsor	Collaborator
Karaman Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Opioid consumption	If the patient's Numerical Rating Scale (NRS) score is equal to or above 4, tramadol 50 mg IV or oxycodone 5 mg orally every 4 hours will be administered as rescue analgesia.	Postoperative 48th hour
Secondary	Numerical Rating Scale (NRS) scores	Range 0-10, 0=no pain, 10=the worse pain ever	Postoperative 48th hour
Secondary	Quality of Recovery 15 Score	Quality of Recovery (QoR)-15 survey.Minimum value: 0, Maximum value: 150, higher scores mean better	Postoperative day 1 and 1 month
Secondary	Postoperative complications	Presence of postoperative nausea, vomiting, pruritus, urinary retention, respiratory depression	24 hours
Secondary	Mobilization time	Mobilization time	24 hours