Comparison of Pericapsular Nerve Group Block With Suprainguinal Fascia Compartment Block in Hip Fractures

Completed

• Conditions: Hip Fractures
• Interventions: Procedure: PENG block+ SIFCB; Procedure: PENG block

• Registration Number: NCT06169462
• Lead Sponsor: Karaman Training and Research Hospital

Brief Summary

Ultrasound-guided Supra-inguinal Fascia Iliaca compartment Block (SIFCB) and Pericapsular Nerve Group Block (PENG) are increasingly being used for postoperative analgesia for hip surgery. The postoperative analgesic efficacy of SIFCB added to PENG block in elderly hip fracture patients will be evaluated. Postoperative opioid consumption and quality of recovery will also be evaluated.

Detailed Description

The study was conducted as a retrospective cohort feasibility design within a tertiary hospital. Patient records and electronic data systems were used to gather the required data for analysis. Before surgery, a carefully selected cohort of patients who underwent PENG block and PENG block added SIFCB were included in the study.

Study Timeline

• Study Start: 2023-01-31
• Primary Completion: 2023-09-01
• Study First Submitted: 2023-11-21
• Status Verified: 2023-12
• Study First Submitted QC: 2023-12-05
• Study Completion: 2023-12-10
• Study First Posted: 2023-12-13
• Last Update Submitted: 2023-12-13
• Last Update Posted: 2023-12-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Physical status according to American Society of Anesthesiologists (ASA ) I-III

Exclusion Criteria

• Previous operation on the same hip
• Hepatic or renal insufficiency
• Patients undergoing general anesthesia
• Allergy or intolerance to one of the study medications
• BMI >40
• ASA IV

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Suprainguinal fascia compartment block (SIFCB) + PENG	PENG block+ SIFCB	Patients who underwent PENG+SIFCB in Hip surgery under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.
Pericapsular nerve group (PENG) block	PENG block	Patients who underwent PENG in Hip surgery under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.

Primary Outcome Measures

Name	Time	Method
Opioid consumption	Postoperative 48th hour	If the patient's Numerical Rating Scale (NRS) score is equal to or above 4, tramadol 50 mg IV or oxycodone 5 mg orally every 4 hours will be administered as rescue analgesia.

Secondary Outcome Measures

Name	Time	Method
Postoperative complications	24 hours	Presence of postoperative nausea, vomiting, pruritus, urinary retention, respiratory depression
Numerical Rating Scale (NRS) scores	Postoperative 48th hour	Range 0-10, 0=no pain, 10=the worse pain ever
Quality of Recovery 15 Score	Postoperative day 1 and 1 month	Quality of Recovery (QoR)-15 survey.Minimum value: 0, Maximum value: 150, higher scores mean better
Mobilization time	24 hours	Mobilization time

Trial Locations

Locations (1)

Karaman Training and Research Hospital; 🇹🇷 Karaman, Karaman/Merkez, Turkey