Comparison of Analgesic Effect of Pericapsular Nerve Group Block and Suprainguinal Fascia Iliaca Compartment Block on Dynamic Pain in Patients Undergoing Hip Fracture Surgery: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Efficacy of each block (Pain score)
研究概览
简要总结
Fascia iliaca compartment block (FICB) has been considered the block of choice for patients with hip fracture. However, pericapsular nerve group (PENG) block, one of the relatively newly-developed blocks, could be also used for analgesia in patients with hip fracture. Since PENG block could block the accessory obturator nerve, PENG block might have greater analgesic effects compared to FICB theoretically. However, the comparison of these two blocks in patients with hip fracture has not performed in clinical setting. Thus, we aimed to compare the analgesic effect of PENG block and FICB.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA PS 1-4
- •baseline pain score (associated with hip fracture): ≥4
排除标准
- •patients who do not agree to participate in this study
- •patients with uncontrolled hypertension, hyperthyroidism, severe dementia
- •allergic to ropivacaine
- •contraindicated to spinal anesthesia due to coagulopathy, severe aortic stenosis/mitral stenosis, or active infection on lumbar region
- •patients who are considered ineligible with any other reason by investigators
结局指标
主要结局
Efficacy of each block (Pain score)
时间窗: before surgery
We will assess the dynamic pain (pain during a movement) using NRS before and 20-30min after applying the assigned block. Then, we will calculate the change of NRS at the two time-points. NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable)
次要结局
- postoperative motor function(postoperative 6, 24, 48hours)
- change of heart rate(before surgery)
- postoperative pain score(postoperative 6, 24, 48hours)
- postoperative opioid consumption(postoperative 24, 48hours)
- change of blood pressure (systolic, diastolic, mean blood pressure)(before surgery)
研究者
Hajung Kim
Clinical assistant professor
Asan Medical Center