PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Hip Fractures Clinical Trial

Official title:

Comparison of the Effect of Pericapsular Nerve Group Block and Suprainguinal Fascia Iliaca Compartment Block for Preventing Positioning Pain During Spinal Anesthesia in Orthopedic Hip Surgery Patients: A Prospective Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05549011
• Other study ID #: 326
• Status: Completed
• Start date: September 20, 2022
• Est. completion date: January 20, 2023

Study information

• Verified date: March 2023
• Source: Prof. Dr. Cemil Tascioglu Education and Research Hospital Organization
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Description:

Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: January 20, 2023
• Est. primary completion date: January 20, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adults with a hip fracture
• who were scheduled to undergo surgery with spinal anesthetics
• has no neurologic disorders that impair cooperation (e.g dementia)
• has no true allergies to local anesthetics
• has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

Exclusion Criteria:

• Childer under the age of 18
• patients scheduled to undergo surgery with general anesthetics
• refusing to participate
• allergies to local anesthetics
• any neurologic disorder that impairs patient cooperation
• any contraindication to regional or neuraxial anesthetics

Related Conditions & MeSH terms

• Hip Fractures
• Nerve Block
• Pain, Postoperative
• Spinal Anesthesia

Intervention

Other:
• PENG Block
PENG block for analgesic purposes performed before hip surgery
• SIFI compartment block
SIFI compartment block for analgesic purposes performed before hip surgery

Diagnostic Test:
• Numeric Rating Scale
Self-reported pain intensity score between 0-10
• Angle of sitting
Measurement of sitting angle in degrees with a protractor

Locations

Country	Name	City	State
Turkey	Prof. Dr. Cemil Tascioglu City Hospital	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Prof. Dr. Cemil Tascioglu Education and Research Hospital Organization

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS)	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible	30 minutes after the block is placed
Secondary	Sitting angle during positioning	Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia	30 minutes after the block is placed
Secondary	Postoperative pain with 10-point numeric rating scale (NRS)	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible	Postoperative day 1