Peri-Capsular Nerve Group and Supra Inguinal Fascia Iliaca BLOCK for Analgesia and Ease of Positioning During Neuraxial Anesthesia in Hip Fracture Patients

Not Applicable

Completed

• Conditions: Spinal Anesthesia; Hip Fractures
• Interventions: Procedure: pericapsular nerve group block; Procedure: suprainguinal fascia iliaca block

• Registration Number: NCT05987254
• Lead Sponsor: Al-Azhar University

Brief Summary

Severe pain associated with fractured hip often results in difficulty during positioning for spinal anesthesia (SA). Among many regional analgesic techniques, the fascia iliaca compartment block (FICB) is popular among anesthesiologists to provide immediate as well as postoperative analgesia in hip fractures. Recently, the pericapsular nerve group (PENG) block has been proposed to provide effective analgesia in hip fracture patients. However, comparative studies between PENG and FICB are lacking.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-08-04
• Study First Submitted QC: 2023-08-04
• Study Start: 2023-08-10
• Study First Posted: 2023-08-14
• Primary Completion: 2024-03-30
• Study Completion: 2024-03-30
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-30
• Last Update Posted: 2024-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 40 years and above with hip fracture with persistent pain and scheduled for surgery under spinal anesthesia (SA)

Exclusion Criteria

• any contraindications to SA or peripheral nerve blocks, history of ischaemic heart disease, patients on opioids for chronic pain and patients with significant cognitive impairment. Patients who had no pain while sitting by themselves (resting pain less than 4 on NRS) for SA without any support were also excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PENG group	pericapsular nerve group block	received ultrasound guided pericapsular nerve group block
FICB group	suprainguinal fascia iliaca block	received ultrasound guided suprainguinal fascia iliaca block

Primary Outcome Measures

Name	Time	Method
The ease of spinal positioning (EOSP)	Thirty minutes after the blocks	The ease of spinal positioning (EOSP) was assessed on the scale of 0-3 (0 = unable to position, 1 = patient had abnormal posturing due to pain and required support for positioning, 2 = mild discomfort but does not require support for positioning, 3 = optimal condition where the patient was able to position himself without pain)
NRS	30 minute postoperative	In a Numerical Rating Scale (NRS), patients are asked to circle the number between 0 and 10, that fits best to their pain intensity. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible'.

Secondary Outcome Measures

Name	Time	Method
amount of tramadol used	24 hours postoperatively	number of rescue doses of tramadol will be recorded

Trial Locations

Locations (3)

Haney Baumey; 🇪🇬 Banhā, Egypt

Facualty of Pharmacy, Al Azhar University; 🇪🇬 Cairo, Egypt

Neveen Kohaf; 🇪🇬 Tanta, Egypt