Spinal Anesthesia Clinical Trial
— PENGOfficial title:
The Efficiency of Preoperative Pericapsular Nerve Group Block Applied With Ultrasound in Patients With Hip Fracture and Its Effect on the Success of Spinal Anesthesia (PENG)
NCT number | NCT06209372 |
Other study ID # | 281570 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | December 15, 2021 |
Est. completion date | June 1, 2022 |
Verified date | April 2024 |
Source | Suleyman Demirel University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
We aimed to investigate the effectiveness of the pericapsular nerve group (PENG) block applied with preoperative ultrasonography (USG) in patients who were operated on under spinal anesthesia due to hip fracture and whether it influences spinal anesthesia success. The files of 100 patients were reviewed observationally, and 60 patients were included in the study. The patients were divided into two groups: Group P (n = 30) comprising patients who underwent PENG block under USG guidance before the start of surgery and the control group (Group C; n = 30) of patients in whom tramadol infusion was started. From the files of the patients, the transition from the bed to the operating table, lateral decubitus position, skin incision, postoperative exit, postoperative 2nd, 4th, 12th, and 24th hour numeric rating scale (NRS) values, spinal anesthesia duration and number of attempts, and perioperative total tramadol consumption were recorded. During the transfer from the patient bed to the operating table and during the lateral decubitus position, postoperative exit and postoperative 2nd, 4th, 8th, 12th, and 24th hour NRS values were found to be significantly lower in Group P. In addition, lower spinal anesthesia time, lower number of spinal anesthesia attempts, and lower perioperative total tramadol consumption were detected in Group P. We found that PENG block applied preoperatively to patients with spinal anesthesia decreased the perioperative pain score, increased the success of spinal anesthesia by facilitating positioning for spinal anesthesia, and decreased the need for postoperative opioids.
Status | Completed |
Enrollment | 60 |
Est. completion date | June 1, 2022 |
Est. primary completion date | April 15, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Over 18 years old - American Society of Anesthesiologists' (ASA) I-II-III Exclusion Criteria: - Patients with a history of chronic pain, - Previous hip joint surgery, - Unsuccessful PENG block or spinal anesthesia application, - Missing data in their records - History of bleeding diathesis - Increased intracranial pressure - Severe mitral and/or aortic stenosis - Allergic to the medications used |
Country | Name | City | State |
---|---|---|---|
Turkey | Suleyman Demirel University Hospital | Isparta | Centre |
Lead Sponsor | Collaborator |
---|---|
Suleyman Demirel University |
Turkey,
Acharya U, Lamsal R. Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures. Case Rep Anesthesiol. 2020 Mar 12;2020:1830136. doi: 10.1155/2020/1830136. eCollection 2020. — View Citation
Afolayan JM, Areo PO, Adegun PT, Ogundipe KO, Filani AB. Comparison of ease of induction of spinal anaesthesia in sitting with legs parallel on the table versus traditional sitting position. Pan Afr Med J. 2017 Nov 13;28:223. doi: 10.11604/pamj.2017.28.22 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in pain score after applying Pericapsular Nerve Group Block (PENG) | In line with the literature, we determined that the NRS value significantly decreased during positioning for spinal anesthesia in the group where the PENG block was applied. | 30 minutes after applying PENG block | |
Primary | Pericapsular Nerve Group Block (PENG) block facilitates the success of spinal anesthesia | Effective pain control facilitates the success of spinal anesthesia by making positioning and application easier is supported by our study. | 30 minutes after applying PENG block |
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