PENG Block Plus Lateral Femoral Cutaneous Nerve Block for Posterolateral-approached Total Hip Arthroplasty

Not Applicable

Completed

• Conditions: Pain; Acute Pain; Analgesia; Postoperative Complications; Postoperative Pain; Hip Arthropathy

• Registration Number: NCT05432011
• Lead Sponsor: Campus Bio-Medico University

Brief Summary

This study aims to analyze the effect of Pericapsular Nerve Group (PENG) Block combined with lateral femoral cutaneous nerve block vs. PENG block combined with wound infiltration for analgesia after elective hip replacement performed with a posters-lateral approach.

Half of participants will receive a PENG Block combined with femoral lateral cutaneous nerve block, while the other half will receive PENG Block combined with wound infiltration

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-06-20
• Study First Submitted QC: 2022-06-20
• Study First Posted: 2022-06-24
• Study Start: 2022-07-01
• Primary Completion: 2023-05-18
• Study Completion: 2023-05-25
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-29
• Last Update Posted: 2023-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Elective hip replacement surgery performed with a poster-lateral approach
• ASA physical status score < 4

Exclusion Criteria

• Contraindications to regional anesthesia
• ASA physical status score ≥ 4
• Patient's refusal or inability to sign the informed consent
• Allergies to any drug provided by the study protocol

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Static Pain Score	24 hours	A numerical rating scale (NRS) from 0 (no pain) to 10 (worst imaginable pain) will be used to evaluate pain at rest during 24 hours after surgery
Dynamic Pain Score	24 hours	A numerical rating scale (NRS) from 0 (no pain) to 10 (worst imaginable pain) will be used to evaluate pain on movement during 24 hours after surgery

Secondary Outcome Measures

Name	Time	Method
Range of hip motion	24 hours	Degrees of hip flexion
Morphine consumption	6 days	Total of intravenous morphine (expressed in milligrams) administered during the entire hospitalization
Ability to start physiotherapy during the first postoperative day	24 hours	YES: the patient was able to start physiotherapy NO: the patient was not able to start physiotherapy during the first postoperative day due to pain or motor block
Quadriceps Strength	24 hours	Ability to flex the knee against gravity
Ability to ambulate with the help of a walker during the first postoperative day	24 hours	YES: The patient was able to ambulate with the help of a walker NO: The patient was not able to ambulate with the help of a walker due to pain or motor block
Incidence of block complications	24 hours	Any complications or side effects of the blocks, such as local infection, intravascular injection of local anesthetics and immediate systemic toxicity.; Moreover, incidence of nausea, vomiting and postoperative respiratory depression will be recorded
Hospital Length of Stay	6 days	Total Hospital length of Stay (expressed in days)

Trial Locations

Locations (1)

Campus Bio-medico University Hospital Foundation; 🇮🇹 Rome, Italy