Comparative evaluation between ultrasound guided supra-inguinal fascial iliaca blocks with pericapsular nerve group block (SIFI with PENG) and ultrasound guided quadratus lumborum block with pericapsular nerve group block (QL with PENG) for postoperative analgesia in children requiring a hip surgery. A Randomized Controlled Trial.
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- 1. The times of rescue analgesia and the adverse reactions caused by the analgesics such
研究概览
简要总结
Pain management following surgical procedures is essential in paediatric patients. Adequate analgesia is vital in their recovery and overall experience within the healthcare system. Adequate pain management following surgery is also linked to increased patient satisfaction, earlier mobilization, decreased pain medication requirements, and improved outcomes. We aim to alleviate pain while minimizing the potential for adverse effects has led to the exploration of regional anaesthesia techniques as a viable alternative to systemic opioids-based analgesics. Previous meta-analysis in adults has shown that peripheral nerve blocks reduce pain during movement and decrease the time to mobilisation in adult patients undergoing hip surgery.This study is planed to explore optimal pain management strategy in pediatric patients by exploring and evaluating the SIFI and QL block techniques with respect to duration of analgesia ( primary objective), 24-hour opioid consumption, motor impairment, potential adverse effects, and overall patient satisfaction associated with these techniques in children undergoing hip surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 1.00 Year(s) 至 7.00 Year(s)（—）
- 性别
- All
入选标准
- •Adults of either gender aged between age between 1-7 years with American Society of Anesthesiologists (ASA) physical status I to III undergoing hip surgery.
排除标准
- •Patients with coagulopathy, sepsis, hepatic or renal failure.
- •allergy to local anesthetic (LA) 3.Patients having opioids previously.
- •Refusal of parental consent
- •Refusal of parental consent
- •Patients with pre-existing neuropathies
- •Patients with local infection around the needle site.
结局指标
主要结局
1. The times of rescue analgesia and the adverse reactions caused by the analgesics such
时间窗: first 24 hours
as pruritus, nausea and vomiting
时间窗: first 24 hours
次要结局
- 1.The FLACC scale will be used to assess the pain(2.The satisfaction of surgeon & of patients the satisfaction)
研究者
Dr Sandeep Diwan
Sancheti Institute for Orthopedics and Rehabiliation