Perioperative Pain Clinical Trial
Official title:
Effect of Bupivacaine Concentration on Ultrasound Guided Pericapsular Group Nerve Block Efficacy in Hip Surgery Patients: A Randomized Controlled Double Blinded Trial
Verified date | November 2023 |
Source | Benha University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Fractures in and around the hip are quite common irrespective of both the young and elderly population groups and are associated with extreme pain.The anterior hip capsule is innervated by articular branches of femoral nerve, obturator nerve and accessory obturator nerve (AON) as reported by previous anatomic studies, suggesting that these nerves should be the main targets for hip analgesia, which can be blocked by Peri-capsular nerve group (PENG).
Status | Completed |
Enrollment | 135 |
Est. completion date | November 1, 2023 |
Est. primary completion date | October 1, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility | Inclusion Criteria: - (ASA )classes I and II - patients of either sex - above the age of 18 who will undergo hip surgeries( (Dynamic hip screw fixation or hemiarthroplasty)(not older than 2 weeks) with persistent pain and scheduled for surgery under SA with an expected duration of 2.5 hours). Exclusion Criteria: - patient's refusal to participate - any contraindications to SA or peripheral nerve blocks - history of ischemic heart disease - patients on opioids for chronic pain - patients with significant cognitive impairment. - Patients who have surgery on the hip or spine within 3 months or have no pain while sitting by themselves (resting pain less than 4 on NRS) for SA without any support |
Country | Name | City | State |
---|---|---|---|
Egypt | Banha Faculity of Medicine | Banha | Elqalyoubea |
Lead Sponsor | Collaborator |
---|---|
Benha University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | NRS at rest and on passive 15° limb lifting, EOSP. | From 0 to 10 (0 no pain , 10 very sever pain) | 30 minutes after the block | |
Secondary | NRS over 24 hours | From 0 to 10 (0 no pain , 10 very sever pain) | 2,4,8,16,24 hours postoperative | |
Secondary | Amount of morphine intake. | Amount of morphine taken during 24 hours | 24 hours postoperative | |
Secondary | Quality of recovery score (QoR-15) | This questionnaire covers a total of 15 questions under five clinical dimensions of health; physical comfort (five-item), emotional status (four-item), psychological support (two-item), physical independence (two-item) and pain (twoitem).
a numerical rating scale of 11 point for each question leads to a minimum score of 0 (very poor recovery) and a maximum score of 150 (excellent recovery). |
at 24 hours postoperative |
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