Which block has better efficacy USG guided Pericapular Nerve Group Block versus Lumbar Plexus Block for postoperative analgesia in patients undergoing hip surgery

Not yet recruiting

Conditions: Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,

Registration Number: CTRI/2021/08/036083

Lead Sponsor: Lady Hardinge Medical College

Brief Summary: Hip fracture is a common orthopedic emergency, & associated with significant morbidity and mortality. Surgical reduction and fixation is the definitive treatment in most patients to improve mobility and quality of life. Adequate pain relief is essential in the postoperative period to enable ambulation and initiation of physiotherapy.

Various methods have been used to provide post op analgesia. Intravenous patient-controlled analgesia (IV PCA) or epidural analgesia are the most common methods. IV PCA is associated with poor pain control and opioid associated complications. Epidural analgesia may lead to hemodynamic instability and bilateral motor block.

Recently, peripheral nerve blockade has emerged alternative analgesic approach.4 Femoral nerve block and fascia illiaca block are useful however they are associated with inadequate pain control for hip surgery because of low propensity to block obturator nerve.

Lumbar plexus block or psoas compartment blocks has been considered Gold standard, as it reliably block all its branches including obturator nerve and provide potent analgesia with reduce opioid consumption for hip surgery. It is a deep block and technically challenging even with the use of ultrasound.

Recently ultrasound guided Pericapsular Nerve Group (PENG) block has been described which block articular branches of hip supplied by femoral, obturator, and accessory obturator nerve. Technique for PENG block is easy as it is quite superficial as well as initial data on its application and hip surgery is in encouraging.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 100

Inclusion Criteria

Adult patients ASA I and ASA II 18-70 years posted for hip surgery.

Exclusion Criteria

1.Any known drug allergies.
2.Contraindication to nerve block like coagulopathy, bleeding diathesis and local infection 3.Patient requires general anaesthesia during surgery.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mean opioid consumption (in mg/kg) at the end of 24 hours postoperatively in both PENG block and lumbar plexus block group	Mean opioid consumption (in mg/kg) at the end of 24 hours postoperatively in both PENG block and lumbar plexus block group

Secondary Outcome Measures

Name	Time	Method
1.Mean NRS on rest at 0, 4, 8, 12&24 hr postoperatively in both the group	2.Mean NRS on limb movement at 0, 4, 8, 12&24 hr postoperatively in both the group

Trial Locations

Locations (1): Lady Hardinge Medical College
🇮🇳
Central, DELHI, India
Lady Hardinge Medical College
🇮🇳Central, DELHI, India
DR ARSHAN ALI
Principal investigator
8700898608
arshan47ali@gmail.com