'The Effect of Adding LFCN Block to PENG

Not Applicable

Active, not recruiting

• Conditions: Pain, Acute; Nerve Block; Pain, Postoperative; Opioid Consumption
• Interventions: Procedure: PENG Block; Procedure: LFCN block

• Registration Number: NCT06226675
• Lead Sponsor: Zonguldak Bulent Ecevit University

Brief Summary

The incidence of femoral neck fracture in Europe is 330/10000 per year. It is increasing every year due to the aging of the population. In patients 55 years and older, hip fracture-related mortality is estimated to be between 4% and 16% at one month and between 11% and 43% at one year after surgery. The reduced risk of postoperative complications associated with the use of regional anesthesia, shorter mobilization times, and reduced morphine consumption in hip fractures have been reported, and have been incorporated into postoperative pain control as part of multimodal strategies. PENG has been described for postoperative pain control for surgery on the hip joint or for the treatment of post-traumatic pain associated with proximal femur/femoral head fractures. Lateral femoral cutaneous nerve block is used in combination with other peripheral block methods to provide analgesia in the lateral thigh.

The investigators aimed to evaluate the effect of adding lateral femoral cutaneous nerve block to PENG block on pain scores and opioid consumption in femoral fracture procedures under spinal anesthesia.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-01
• Status Verified: 2024-01
• Study First Submitted: 2024-01-04
• Study First Submitted QC: 2024-01-17
• Last Update Submitted: 2024-01-17
• Study First Posted: 2024-01-26
• Last Update Posted: 2024-01-26
• Primary Completion: 2024-01-31
• Study Completion: 2024-04-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 18-75 years old,
• ASA I-II-III risk group
• patients undergoing hip fracture surgery under spinal anesthesia
• Patients whose informed consent was read and consent was obtained from them and their representatives.

Exclusion Criteria

• Those who do not want to participate in the study,
• ASA IV-V patients
• Those with coagulation disorders
• Allergic to local anesthetics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group PENG+LFCN	LFCN block	-
Group PENG	PENG Block	-
Group PENG+LFCN	PENG Block	-

Primary Outcome Measures

Name	Time	Method
postoperative opioid consumption	up to 24 hour after surgery	total morphine requirement

Secondary Outcome Measures

Name	Time	Method
postoperative complications	up to 24 hour after surgery	nausea-vomitting, motor block, hypertension, hypotension etc.
mobilization time	up to 24 hour after surgery	when the patient is first mobilized
pain scores	up to 24 hour after surgery	evaluating pain scores by Numeric Rating Score
first analgesic time	up to 24 hour after surgery	the need of first analgesic after surgery

Trial Locations

Locations (1)

Zonguldak Bülent Ecevit University; 🇹🇷 Zonguldak, Kozlu, Turkey