Postoperative Pain Management in Patients Undergoing Total Hip Arthroplasty: PENG Block in Combination With LFCN Block or Wound Infiltration?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- First analgesic demand
Study Overview
Brief Summary
The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries.
Detailed Description
The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries. However, it fails to provide cutaneous analgesia on the anterolateral surgical incisional site. This study compares the effects of wound infiltration and lateral femoral nerve blocks in combination with PENG blocks for postoperative pain in patients undergoing total hip arthroplasty for coxarthrosis.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Coxarthrosis
- •Total hip replacement
- •Patients agreed to receive PENG block
- •LFCN or wound infiltration performed combined with PENG blocks
Exclusion Criteria
- •Other kinds of hip surgeries
- •Total hip replacement performed for other indications
- •Patients refused to receive PENG block
Outcomes
Primary Outcomes
First analgesic demand
Time Frame: 24 hours
The time interval from PENG blocks to the first analgesic demand.
Secondary Outcomes
- Numeric Rating Scale(24 hours)
- Nonsteroidal Anti-inflammatory Drugs (NSAID)(24 hours)
- Opioid consumption(24 hours)
Investigators
Hande Gurbuz
Medical Doctor, Associate Professor, Principal Investigator
Derince Training and Research Hospital