PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Completed

• Conditions: Hip Fractures; Nerve Block; Spinal Anesthesia; Acute Post Operative Pain
• Interventions: Other: PENG Block; Other: SIFI compartment block; Diagnostic Test: Numeric Rating Scale; Diagnostic Test: Angle of sitting

• Registration Number: NCT05549011
• Lead Sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Brief Summary

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Detailed Description

Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

Study Timeline

• Study First Submitted: 2022-09-17
• Study Start: 2022-09-20
• Study First Submitted QC: 2022-09-20
• Study First Posted: 2022-09-22
• Primary Completion: 2023-01-20
• Study Completion: 2023-01-20
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-06
• Last Update Posted: 2023-03-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

• Adults with a hip fracture
• who were scheduled to undergo surgery with spinal anesthetics
• has no neurologic disorders that impair cooperation (e.g dementia)
• has no true allergies to local anesthetics
• has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

Exclusion Criteria

• Childer under the age of 18
• patients scheduled to undergo surgery with general anesthetics
• refusing to participate
• allergies to local anesthetics
• any neurologic disorder that impairs patient cooperation
• any contraindication to regional or neuraxial anesthetics

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
PENG block	Angle of sitting	This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia
PENG block	PENG Block	This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia
PENG block	Numeric Rating Scale	This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia
SIFI block	SIFI compartment block	This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia
SIFI block	Numeric Rating Scale	This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia
SIFI block	Angle of sitting	This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia

Primary Outcome Measures

Name	Time	Method
Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS)	30 minutes after the block is placed	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible

Secondary Outcome Measures

Name	Time	Method
Postoperative pain with 10-point numeric rating scale (NRS)	Postoperative day 1	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible
Sitting angle during positioning	30 minutes after the block is placed	Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia

Trial Locations

Locations (1)

Prof. Dr. Cemil Taşcıoğlu City Hospital; 🇹🇷 Istanbul, Turkey