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A study to compare the pain relief achieved after giving a nerve block (Pericapsular nerve group block) and an Intravenous Injection of a medicine (Tramadol) for performing the Anaesthetic procedure (Spinal and epidural anaesthesia) required for the surgery

Phase 3
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2022/12/048119
Lead Sponsor
Pondicherry Institute of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Patients with fractures around the hip joint (Neck of femur fracture, intertrochanteric fracture, isolated trochanteric fracture, subtrochanteric fracture, acetabular fracture) undergoing fracture correction and patients undergoing total hip replacement surgeries,

hemiarthroplasty in Pondicherry Institute of Medical Sciences

2. Elective procedure

3. Patients of age between 18 to 90 years

4. Male and Female

5. ASA Physical status I, II, III (American Society of Anaesthesiologist)

6. Surgery under central neuraxial blockade

Exclusion Criteria

1. Altered mental status.

2. Coagulopathy

3. Allergy for local anaesthetics / opioids

4. Contraindications for central neuraxial blockade and nerve blocks

5. Patient on opioids for chronic pain

6. Resting NRS score less than 2

7. Puncture site infection

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the analgesic effect of ultrasound guided Pericapsular Nerve Group block versus intravenous tramadol by using Numerical Rating Scale (NRS) at rest post intervention in hip fracture patients for performing central neuraxial blockade.Timepoint: 20 mins
Secondary Outcome Measures
NameTimeMethod
1. The pain using Numerical Rating Scale (NRS) at 15o passive straight leg raising test post intervention. <br/ ><br>2. Patients sitting ability for central neuraxial blockade <br/ ><br>3. Anaesthesiologist satisfaction for ease of performing central neuraxial blockade <br/ ><br>4. The Haemodynamic parameters (Heart rate, Systolic Blood Pressure, Diastolic Blood <br/ ><br>Pressure, Mean arterial pressure, Oxygen saturation) <br/ ><br>5. The requirement of rescue analgesiaTimepoint: 20 mins
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