Pericapsular Nerve Group (PENG) Block and Lateral Femoral Cutaneous Nerve (LFCN) Block Versus Fascia Iliaca (FIC) Block for Multimodal Analgesia After Total Hip Replacement Surgery: a Retrospective Analysis Focused on Movement (Retro- PvF)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Movement of the lower limb affected by surgery
研究概览
简要总结
Total hip arthroplasty is a major surgical procedure performed on a growing number of patients. Optimal pain control with limited muscle weakness is paramount for a swift initiation of physical therapy and ambulation, thus expediting hospital discharge. Amongst the many peripheral nerve blocks, FIB (fascia iliaca block) has been recommended as the block of choice by many international guidelines since it offers the best pain control with a relatively low risk of motor block. PENG (pericapsular nerve group) and its association with LFCN (lateral femoral cutaneous nerve) has been proposed as an effective alternative that offers comparable, If not better, pain control with a considerably lower risk for motor block compared to FIB. Given the novelty of this block, there are few published papers on the subject, mostly case series or case reports thus justifying the need for retrospective study.
详细描述
The primary outcome was the degree of residual quadriceps femoris muscle paresis assessed with the MRC (medical research council) scale at 6 hours between PENG and LCFN. The secondary outcomes were NRS (numeric rating scale) at 6,12, 24 hours, total opioid consumption expressed as milligrams of morphine equivalents (MME), time to first rescue opioid and time to first postoperative ambulation.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •elective total hip replacement surgery for non-traumatic hip disease,
- •age over 18 years,
- •complete clinical chart including type of peripheral nerve block performed,
- •signed consent form for spinal anesthesia and peripheral nerve block.
排除标准
- •preoperative opioid therapy,
- •having received a peripheral nerve block other than PENG + LFCN or FICB,
- •having received general anesthesia,
- •incomplete chart,
- •documented muscle weakness
- •deviation from the established post-operative analgesia protocol.
结局指标
主要结局
Movement of the lower limb affected by surgery
时间窗: 6 hours after surgery
The Medical Research Council (MRC) Muscle Strength Scale (ranging scale from 0 to 5 0= no visible contraction, 5=normal power) was used to assess the degree of residual quadriceps femoris muscle paresis 6 hours postoperatively.
次要结局
- Morphine Milligram Equivalents (MME) of "pro re nata" (PRN) opioid doses(12 hours after surgery)
- pain control(24 hours after surgery)
研究者
Francesco Vetrone, MD
Medical Doctor
Ospedale Edoardo Bassini