Pericapsular Nerve Group (PENG) Block Versus Intra-articular Injection for Hip Arthroscopy: A Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 72
- 试验地点
- 2
- 主要终点
- Postoperative opioid consumption
研究概览
简要总结
Hip arthroscopy is a popular surgical method that is increasingly being used for both intraarticular and extraarticular hip surgeries. Postoperative acute pain is difficult to control in hip surgeries due to the complex nature of hip innervation and the large number of surgical interventions. Optimal treatment of postoperative pain in hip arthroscopy is very important to be able to perform rehabilitation, avoid opioid side effects and minimize unplanned re-hospitalization. Regional anesthesia techniques are widely used because of their proven efficacy in post-surgical pain management and their safety profile that ultimately contributes to early recovery. Many regional techniques such as neuraxial blocks, lumbar plexus block, femoral nerve block, fascia iliac block and intraarticular local anesthetic injection have been used for the treatment of acute postoperative pain.
Femoral nerve and fascia iliac blocks have shown good results for long-term post-surgery analgesia. However, the obturator nerve and accessory obturator nerve should be targeted to achieve more effective perioperative pain control. There are studies reporting that pericapsular nerve group block (PENG), which has been defined in recent years, provides effective perioperative analgesia in hip surgeries. In this study, we aim to compare the effectiveness of PENG block and intra-articular local anesthetic injection in hip arthroscopy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Association of Anesthesiologists (ASA) physical status I - III
- •BMI 20 to 35 kg / m2
- •Patients scheduled for elective hip arthroscopy
- •Able to provide informed consent.
排除标准
- •Patients who refuse to participate in the study,
- •Coagulopathy,
- •Hepatic or renal insufficiency,
- •Pregnancy
- •Allergy to local anesthetic drugs,
- •Chronic pain condition requiring opioid intake at home,
- •BMI above
- •History of psychiatric diseases needing treatment.
- •Failure of nerve block
- •Substance abuse history
- •Hip revision surgery
- •Underlying neurologic disorder affecting pain perception.
- •Angina, heart attack, heart failure
- •Kidney or hepatic insufficiency
- •Gastrintestinal bleeding history
结局指标
主要结局
Postoperative opioid consumption
时间窗: up to the first 24 hours postoperatively
Total amount of morphine consumption during the first 24 hours after surgery. Patient controlled analgesia to be inserted.
次要结局
- Pain intensity score(0.5, 1, 3, 6, 12, 24 hours postoperatively.)
- Postoperative nausea and vomiting(up to the first 24 hours postoperatively)
- First rescue analgesic time(up to the first 24 hours postoperatively)
- Patient satisfaction(at the end of 24 hours postoperatively)
研究者
Serdar Yeşiltaş
Assist Prof
Bezmialem Vakif University