The Effect of Facial Plane Blocks on Postoperative Recovery Quality in Hip Surgery

Recruiting

• Conditions: Hip Fracture
• Interventions: Other: Control group; Other: FIC block group; Other: PENG block group; Other: Femoral block group

• Registration Number: NCT06389279
• Lead Sponsor: Antalya Training and Research Hospital

Brief Summary

The aim of this study was to evaluate the effect of ultrasound-guided pericapsular nerve block, fascia iliaca compartment block, and femoral block on the quality of recovery as part of multimodal analgesia before hip surgery under spinal anesthesia.

Detailed Description

Orthopedic procedures have become increasingly common in clinical practice. With the increasing elderly population, there have been significant developments in recent years in the field of perioperative pain management and anesthesia strategies for patients scheduled for hip surgery. Patients undergoing hip surgery may experience severe pain both postoperatively and during the positioning of the patient during surgery. This leads to increased sympathetic activation such as tachycardia and hypertension in patients, especially in the elderly population, and some undesirable complications due to the patients' existing comorbidities. Therefore, pain management strategies for patients undergoing hip surgery are based on a range of anesthesia techniques, including the use of opioids, neuraxial anesthesia (spinal, epidural, or a combination of them), nerve blocks, especially pericapsular nerve block (PENG), fascia iliaca compartment block (FICB) and femoral block). Reducing patients' pain and improving the quality of postoperative recovery has become increasingly important. The Quality of Recovery-15 (QoR-15) is a 15-question questionnaire validated to assess postoperative recovery. This questionnaire assesses patients' pain, physical comfort, physical independence, psychological support, and emotional status in the early postoperative period. The aim of this study was to evaluate the effect of ultrasound-guided PENG block, FICB block, and femoral block on the quality of recovery as part of multimodal analgesia before hip surgery under spinal anesthesia.

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-24
• Study First Submitted QC: 2024-04-24
• Study First Posted: 2024-04-29
• Study Start: 2024-04-30
• Last Update Submitted: 2024-04-30
• Last Update Posted: 2024-05-01
• Primary Completion: 2024-09-24
• Study Completion: 2024-10-24

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• elective hip fracture,
• 18-85 years
• American Society of Anaesthesiology (ASA) I-III

Exclusion Criteria

• patients planned for general anesthesia
• with multiple fractures
• bleeding disorder
• peripheral neuropathy
• mental disorder
• local anesthetic allergy
• contraindications for spinal anesthesia (local infection, etc.)
• declining to give written informed consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Control group	Control group	No intervention
FIC block group	FIC block group	Before the spinal anesthesia, FIC block will be performed under the guidance of ultrasound.
PENG block group	PENG block group	Before the spinal anesthesia, PENG block will be performed under the guidance of ultrasound.
Femoral block group	Femoral block group	Before the spinal anesthesia, femoral block will be performed under the guidance of ultrasound.

Primary Outcome Measures

Name	Time	Method
recovery quality	5 minutes	The Quality of Recovery-15 (QoR-15) is a 15-question questionnaire validated to assess postoperative recovery. This questionnaire assesses patients' pain, physical comfort, physical independence, psychological support, and emotional status in the early postoperative period. The patient is asked to express their status scoring from 0 to 10; therefore, the total score ranges from 0 to 150 points,

Secondary Outcome Measures

Name	Time	Method
postoperative Numeric Rating Scale (NRS) pain score	postoperative 24 hours	The postoperative pain intensity will be assessed with Numeric Rating Scale (NRS) scores (0 represents no pain and 10 represents the worst possible pain) at postoperative 24 hours.
postoperative opioid consumption	postoperative 24 hours	The amount of postoperative opioid consumption will be recorded

Trial Locations

Locations (1)

University of Health Sciences, Antalya Training and Researh Hospital; 🇹🇷 Antalya, Turkey