Clinical Trial Details
— Status: Recruiting
Administrative data
NCT number |
NCT05819879 |
Other study ID # |
AP2102-30101 |
Secondary ID |
|
Status |
Recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
June 10, 2023 |
Est. completion date |
September 20, 2023 |
Study information
Verified date |
July 2023 |
Source |
National Cancer Institute, Egypt |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
assess the effectiveness of peri-capsular nerve group block and scaitico femoral block in the
incidence of post amputation syndrome in patients undergoing above knee amputation.
Description:
The loss of a body part can lead to pain and other sensations that fall into three distinct
descriptive categories, namely phantom sensations, phantom pain, and residual pain. Phantom
sensations are defined as pain-free perceptions emanating from the lost body part after
deafferentation, and phantom pain is a painful or unpleasant sensation in the distribution of
the lost or deafferented body part 5. Phantom sensations can be a different expression of
phantom pain and interfere with rehabilitation therapy by enhancing and interacting with
phantom pain.
The current standard of care is pre-operative nerve blockade to prevent peripheral
sensitization leading to future onset of phantom limb pain. Successful outcomes necessitate
effective communication between the surgeon, anesthesiologist, and the various teams involved
in the post-operative rehabilitation of the patient. A consultation with the Acute Pain
Service or similar entity that performs peripheral nerve blockade pre-operatively and then
follows the patient during their post-operative inpatient course is an important factor in
the success in early prevention of acute and chronic pain for these patients.
Pericapsular nerve group block or PENG block is a novel regional nerve block to provide
analgesia in fractured hip patients. It is primarily an ultrasound-guided (USG) technique
where target area is the pelvic rim (superior pubic ramus) near iliopectineal eminence, deep
to fascia of iliopsoas muscle. Articular branches of femoral nerve and accessory obturator
nerves, which cross over the bony rim, are primary targets of the PENG block.however, by
increasing volume of local anesthetic drug; other nerves (obturator, femoral, genitofemoral,
and lateral femoral cutaneous nerve) can be blocked.
This block is a new regional anesthesia technique based on blocking the femoral nerve (FN)
and accessory obturator nerve (ON) with a single injection.