A Comparative Study of analgesic efficacy of Pre-Emptive USG guided Pericapsular Nerve Group (PENG) block vs Femoral nerve block vs articular branch block while positioning the patient during neuraxial anaesthesia for unilateral hip fracture surgery- A Prospective Randomised Comparative Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Analgesic Efficacy of Pre-Emptive Block
Study Overview
Brief Summary
Hip fracture is associated with Significant Pain. There are lot of described regional anaesthesia/ analgesia techniques described for hip fracture. These blocks can be given as an On-Arrival Block ( given immediately once patient arrives in the hospital) as well as Pre-Emtive Block (given before shifting patient inside OT for positioning patient for Neuraxial procedures).
In our study we are comparing analgesic efficacy of Femoral Nerve Block with Articular Branch Block with PENG Block which are given as Pre-Emptive Block in the Preop holding area before shifting patient inside OT. We presume that these Block will help patient to tackle pain during positioning for Neuraxial procedure inside OT. Also, these blocks will decrease total time required in Neuraxial procedure by helping patient positioning with adequate assistants with tolerable or little amount of Pain.
Inclusion Criteria:
Age 10-90 yrs patient with
Unilateral hip fracture which includes,
NOF FRACTURE,
IT Fracture,
ST Fracture,
ACETABULAR fracture,
Patients who received on-arrival Block also included in this study to compare nature of pain
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 10.00 Year(s) to 90.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients with Unilateral hip fractures like, NOF fracture, IT Fracture, ST fracture, ACETABULAR fracture Patient who already received/ not received on arrival Block for unilateral hip fracture.
Exclusion Criteria
- •Patient Refusal, Polytrauma Patient, Allergic to LA, Patient with Cognitive dysfunction Age less than 10 yrs or more than 90 yrs Patient with mental illness Bilateral hip fractures Patient not fit for Neuraxial anaesthesia.
Outcomes
Primary Outcomes
Analgesic Efficacy of Pre-Emptive Block
Time Frame: Rest / Dynamic VAS score (0-10) at 0, 5,10,15,20,25,30 minutes after giving block or before shifting to OT whichever is earlier
Secondary Outcomes
- Quality of patient positioning for Neuraxial anaesthesia inside OT((0-3) 0- worst, 1- Bad, 2- Good, 3- Best)
- Assistants required for patient Positioning(1,2,3,4, more than 4)
- Patient Acceptance(Yes or No)
- Active Hip Flexion inside OT after Pre-Emptive Block(0, 15,30,45,90, more than 90 degrees)
- Pain score inside OT after Pre-Emptive Block(VAS score (0-10) in Supine position)
- Time taken for Neuraxial Anaesthesia(Time from supine position inside OT before Neuraxial anaesthesia till Supine position after Neuraxial anaesthesia in minutes)
- Opioid consumption for positioning patient for Neuraxial anaesthesia inside OT(Yes or No)