The Comparison of Pericapsular Nerve Block and Fascia Iliaca Compartment Block in Children With Cerebral Palsy or Spina Bifida for Pain Management in Hip Surgery.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Perioperative Analgesia
- Sponsor
- Saint Petersburg State University, Russia
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Opioids consumption
- Status
- Active, not recruiting
- Last Updated
- 9 months ago
Overview
Brief Summary
The goal of this clinical trial is to test the hypothesis that performing a Pericapsular nerve group (PENG) block allows for more effective analgesia in the perioperative period during reconstructive surgery on the hip in children with cerebral palsy and spina bifida compared with Fascia illiaca compartment block (FICB).
Detailed Description
The main question it aims to answer is: Is the PENG block an effective and safe method of pain relief for hip surgery in children? Participants will be randomized into two equal groups. The group who underwent US - guided PENG block, and the group who underwent US - guided FICB . In both groups we used 0.5% ropivacaine. The same postoperative analgesia regimen was applied by intravenous acetaminophen , oral ibuprofen . In case of ineffectiveness of the prescribed drugs, promedol was used intramuscularly. The postoperative consumption of promedol, time to first rescue analgesia, numerical pain score (NRS) (for children from 7 years old), FLACC score, measurements of A.N.I. monitor MDMS and the side effects will be recorded
Investigators
Novikova Veronika
Principal Investigator
Saint Petersburg State University, Russia
Eligibility Criteria
Inclusion Criteria
- •reconstructive surgery on the hip joint
- •children with cerebral palsy/ spina bifida/organic brain injury
- •age 3 - 18 years.
Exclusion Criteria
- •contraindications to the use of local anesthetics
- •contraindications to performing an invasive procedure
Outcomes
Primary Outcomes
Opioids consumption
Time Frame: 24 hours
Total dosage of opioids in postoperative period
Secondary Outcomes
- Time to rescue analgesia(24 hours)
- Pain level(2, 6, 12, 24 hours after completing the block)
- Intraoperative level of analgesia(Intraoperatively)