A randomized controlled trial to compare the efficacy of pericapsular nerve group block versus erector spinae plane block for postoperative analgesia in patients undergoing hip surgery.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Mean opioid consumption at the end of 24 hours postoperatively
Study Overview
Brief Summary
Hip surgery is the definitive management for hip fracture. Postoperative pain increases complications,morbidity and delays recovery. Hence various methods such as epidural analgesia, IV patient controlled analgesia and peripheral nerve blockade procedures are done to decrease postop pain. In this study we are comparing the analgesic efficacy of pericapsular nerve group block versus erector spinae plane block using ultrasound after explaining the entire procedure to the patient and taking consent. Patient will be explained about the NRS scale beforehand. Patient will be taken on OT table ,all the monitors will be attached. NRS will be assessed in supine position and on limb movement.20 ml of 0.25% bupivacaine(plain) with 8mg of dexamethasone will be given in both the blocks. After 15 minutes patient will be made to sit for giving subarachnoid block and ease of spinal positioning will be assessed. In the postoperative period pain is assessed at 0,4,12 and 24 hours.Time at which first rescue analgesic taken will also be noted. Any opioid consumption within 24 hrs will be noted.Proportion of patients developing complications will also be noted.The efficacy of the two groups will be compared on these parameters.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Adult patients ASA I and ASA II 18-70 years posted for hip surgery.
Exclusion Criteria
- •Any known drug allergies Contraindication to nerve block like coagulopathy, bleeding diathesis and local infection Patient requires general anaesthesia during surgery.
Outcomes
Primary Outcomes
Mean opioid consumption at the end of 24 hours postoperatively
Time Frame: At end of 24 hours postoperatively
Secondary Outcomes
- 1.Median grading of ease of spinal positioning after 15 minutes of block.(2.Mean time to first rescue analgesic demand in hours.)
