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

Recruiting

Conditions: Fracture of head and neck of femur, (2) ICD-10 Condition: S721||Pertrochanteric fracture, (3) ICD-10 Condition: S722||Subtrochanteric fracture of femur, (4) ICD-10 Condition: S39||Other and unspecified injuries ofabdomen, lower back, pelvis and external genitals,

Registration Number: CTRI/2019/04/018654

Lead Sponsor: Ganga Medical Centre and Hospital Private Limited

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

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 150

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.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Analgesic Efficacy of Pre-Emptive Block	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 Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1): Ganga Medical Centre and Hospital Private Limited
🇮🇳
Coimbatore, TAMIL NADU, India
Ganga Medical Centre and Hospital Private Limited
🇮🇳Coimbatore, TAMIL NADU, India
Dr Kartik Sonawane
Principal investigator
9561840842
drkartiksonawane@gmail.com