Comparison of the Efficacy of PENG Block in Combination With LFCN Block and Wound Infiltration

Postoperative Pain Clinical Trial

Official title:

Postoperative Pain Management in Patients Undergoing Total Hip Arthroplasty: PENG Block in Combination With LFCN Block or Wound Infiltration?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04681222
• Other study ID #: U1111-1262-9877
• Status: Completed
• Start date: January 1, 2019
• Est. completion date: December 31, 2019

Study information

• Verified date: December 2020
• Source: Derince Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries.

Description:

The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries. However, it fails to provide cutaneous analgesia on the anterolateral surgical incisional site. This study compares the effects of wound infiltration and lateral femoral nerve blocks in combination with PENG blocks for postoperative pain in patients undergoing total hip arthroplasty for coxarthrosis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: December 31, 2019
• Est. primary completion date: December 31, 2019
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Coxarthrosis

• Total hip replacement

• Patients agreed to receive PENG block

• LFCN or wound infiltration performed combined with PENG blocks

Exclusion Criteria:

• Other kinds of hip surgeries

• Total hip replacement performed for other indications

• Patients refused to receive PENG block

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain

Intervention

Procedure:
• LFCN
LFCN block was performed in combination with PENG block
• Wound infiltration
Wound infiltration was performed in combination with PENG block

Locations

Country	Name	City	State
Turkey	Derince Training and Research Hospital	Kocaeli	Derince

Sponsors (2)

Lead Sponsor	Collaborator
Derince Training and Research Hospital	Bursa Yüksek Ihtisas Education and Research Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

Girón-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular Nerve Group (PENG) Block for Hip Fracture. Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847. — View Citation

Girón-Arango L, Roqués V, Peng P. Reply To Dr Roy et al: Total postoperative analgesia for hip surgeries: PENG block with LFCN block. Reg Anesth Pain Med. 2019 Mar 28. pii: rapm-2019-100505. doi: 10.1136/rapm-2019-100505. [Epub ahead of print] — View Citation

Mistry T, Sonawane KB, Kuppusamy E. PENG block: points to ponder. Reg Anesth Pain Med. 2019 Jan 11. pii: rapm-2018-100327. doi: 10.1136/rapm-2018-100327. [Epub ahead of print] — View Citation

Nersesjan M, Hägi-Pedersen D, Andersen JH, Mathiesen O, Dahl JB, Broeng L, Thybo KH. Sensory distribution of the lateral femoral cutaneous nerve block - a randomised, blinded trial. Acta Anaesthesiol Scand. 2018 Jul;62(6):863-873. doi: 10.1111/aas.13091. Epub 2018 Feb 21. — View Citation

Roy R, Agarwal G, Pradhan C, Kuanar D. Total postoperative analgesia for hip surgeries, PENG block with LFCN block. Reg Anesth Pain Med. 2019 Mar 28. pii: rapm-2019-100454. doi: 10.1136/rapm-2019-100454. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	First analgesic demand	The time interval from PENG blocks to the first analgesic demand.	24 hours
Secondary	Opioid consumption	Total opioid analgesic consumption	24 hours
Secondary	Numeric Rating Scale	The maximum score on a 10cm numeric rating scale: (0 to 10cm) (0 = no pain, 10 = worst imaginable pain)	24 hours
Secondary	Nonsteroidal Anti-inflammatory Drugs (NSAID)	Total NSAID consumption	24 hours