Comparison of Peng(pericapsular nerve group) block vs.peng and lfcn( lateral femoral cutaneous nerve ) block in terms of analgesic efficacy in patients undergoing hip surgery: A randomized controlled trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Total iv opioid consumption in first 24 hour following hip surgery
Study Overview
Brief Summary
Various hip surgeries are asdassocia with severe post operative pain .systemic opioids which are used in
analgesia,have disadvantage of nausea,vomi vomiting,pruritus,respira resp depression,and urinary retention.Various regional anaesthesia techniques described for analgesia for post operative period are 1.Fascia iliaca block2.Obturator block 3. Three in one block but a recent novel technique has been introduced called pericapsular nerve group block which targets bulk of nerve supply to anterior hip capsule and it provides coverage of only sensory nerve sparing motor blockade of quadriceps which is a known complications of fascia iliaca and femoral block.
Peng block technique involves deposition of local anaesthestic in musculofascial planes between psoas muscle and superior pubic ramus.It targets articular branch of femoral nerve,obtu obtur nerve,accesory obturator nerve,because these nerves are constantly found between anterior inferior iliac spine and iliopubic eminence in superior pubic ramus.Despite this procedure few patients still cimplaco pain along latera portion of thigh due to dermatomical distributions of lateral femoral
cutaneous nerve .
So we ll consider 2 groups of patients.
Group A: peng block
Group B : Peng with lfcn block
We hypothesize that combined Peng and lfcn block reduce more post operative pain and opioid consumption than Peng block alone.
The patient ll evaluate for 24 hour following surgery
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA1 and 2 ,patiens under going hip surgery under spinal anaesthesia.
Exclusion Criteria
- •Patients refusal to participate in study 2) Patients with coagulopathy,sepsis 3) Patients allergics to local anaesthestic agents 4) Patients with pre exiting neuropathies 5) Patients with local infection around needle site.
Outcomes
Primary Outcomes
Total iv opioid consumption in first 24 hour following hip surgery
Time Frame: Total iv opioid consumption in first 24 hour following hip surgery
Secondary Outcomes
- 1)Time to first dose of rescue bolous iv fentanyl in post operative period(2)Opioid dosage in 1st 6 hours,6-12 hrs,12-24 hours following surgery)