Pain relief in hip fracture patients using latest ultrasound technology.

Completed

Conditions: Other disorders of continuity of bone, (2) ICD-10 Condition: O||Medical and Surgical,

Registration Number: CTRI/2022/02/040557

Lead Sponsor: Dr Rajendra Kumar Sahoo

Brief Summary: Hip fracture is a common orthopedic emergency in elderly people which can result in significant morbidity and mortality. Spinal anesthesia is the most commonly used anesthetic technique to fix these fractures.Hip surgery leads to moderate to severe pain which, if poorly controlled is associated with longer hospital length of stay, delayed ambulation and increased risk of delirium. Regional analgesia techniques, including Femoral nerve block(FNB) and Fascia iliaca compartment block(FICB) have become increasingly popular and commonly used for better perioperative pain control and opioid sparing effects. But both of these blocks lead to lower limb weakness.

In recent times, the Pericapsular nerve group block (PENG) has emerged superior to both FNB and FICB due to complete anesthesia of the joint capsule with motor sparing effects. To date, the analgesic efficacy of ultrasound guided FICB has not been directly compared with those of ultrasound guided FNB or PENG block. So this prospective randomised study is designed to compare immediate pain relief at 30min after the block and pain relief while positioning patients for spinal anesthesia before femoral neck fracture repair between PENG, FNB and FICB.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 175

Inclusion Criteria

Patients aged 40 years and above of American Society of Anesthesiologists physical status (ASA) I-III with hip fracture scheduled for surgery under spinal anesthesia.

Exclusion Criteria

1.Patient refusal to participate 2.Contraindication to Spinal anesthesia or peripheral nerve blocks 3.Patients with significant cognitive impairment 4.Patients on opioids for chronic pain.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
-Visual analogue score (VAS) at rest and on passive 15Â° limb lifting, 30 min after the block.	-Visual analogue score (VAS) at rest and on passive 15Â° limb lifting, 30 min after the block and it will be noted once and then patient will be taken inside operation theatre for spinal anesthesia. \| - Ease of spinal positioning (EOSP) score while positioning for spinal anesthesia will be noted once.
- Ease of spinal positioning (EOSP).	-Visual analogue score (VAS) at rest and on passive 15Â° limb lifting, 30 min after the block and it will be noted once and then patient will be taken inside operation theatre for spinal anesthesia. \| - Ease of spinal positioning (EOSP) score while positioning for spinal anesthesia will be noted once.

Secondary Outcome Measures

Name	Time	Method
-Visual analogue score (VAS) at rest and on passive 15Â° limb lifting at 3, 6,	12 and 24 hours postoperatively.

Trial Locations

Locations (1): Kalinga Institute of Medical Sciences
🇮🇳
Khordha, ORISSA, India
Kalinga Institute of Medical Sciences
🇮🇳Khordha, ORISSA, India
Dr Rajendra Kumar Sahoo
Principal investigator
7750008259
rajendra.sahoo@kims.ac.in