Comparison between Femoral nerve block and Pericapsular nerve group block as Preemptive analgesia in Geriatric hip fractures : A prospective randomised controlled clinical trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessment of reduction in pain would be done using VAS scoring, opioid use will be calculated in terms of milliequivalents of morphine, muscle strength will be calculated according to MRC grading, duration of hospital stay will be calculated and compared between participants receiving Femoral nerve block and Pericapsular nerve group block
研究概览
简要总结
The study proposes to include patients aged more than 65 years identified to have either intertrochanteric fracture or neck of femur fracture. They will be initially checked if they meet the inclusion criteria and upon that will be included in the study. They will be divided into two groups either Femoral nerve group or Pericapsular nerve group block according to Computer generated randomization. They will undergo block administration on arrival according to their group. Their pain assessment (according to VAS scale) and vitals monitoring would be done at regular intervals. They will undergo surgical management for the fracture. They will receive block again in the preoperative period according to the earlier decided group. Their pain assessment, vitals monitoring and muscle strength would be done at regular intervals. Other complications such as post-operative onset delirium would be assessed. Finally total opioid administration during their stay, and duration of hospital stay would be assessed. Results will be analyzed to know whether Femoral nerve block is better than the Pericapsular nerve group block as preemptive analgesia in Geriatric hip fracture patients. This would help us to better understand the role of the block as preemptive analgesia in Geriatric hip fracture patients
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 65.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with Neck of femur and intertrochanteric fracture above 65 years of age will be included in the study.
排除标准
- •Patients with polytrauma, open fractures, fractures with subtrochanteric extension, non-ambulatory patients, unable to communicate, patients having history of opioid abuse, patients currently on opioid medication and patients who do not consent for the study will be excluded from the study.
结局指标
主要结局
Assessment of reduction in pain would be done using VAS scoring, opioid use will be calculated in terms of milliequivalents of morphine, muscle strength will be calculated according to MRC grading, duration of hospital stay will be calculated and compared between participants receiving Femoral nerve block and Pericapsular nerve group block
时间窗: Assessment to be done till discharge of patient from hospital
次要结局
- Blood loss during surgery, Ease of positioning patient during surgery, Incidence of Delirium in post operative period will be assessed(Assessment of reduction in pain would be Assessment to be done till discharge of patient from hospital)