A study to compare ultrasound guided pericapsular nerve group block (PENG) & femoral nerve block for minimizing positional pain during spinal and epidural anaesthesia in hip fractures posted for surgery

Phase 3

Not yet recruiting

Conditions: Medical and Surgical,

Registration Number: CTRI/2024/01/061467

Lead Sponsor: Dr Rojalin Sahoo

Brief Summary: The primary objective of the study is to compare Pericapsular nerve block and the femoral nerve block for relieving positional pain during regional anaesthesia in hip fracture. Secondary objective is to provide post-operative pain relief in hip surgery. After taking written consent from 75 patients Scheduled for hip surgery under regional anaesthesia were selected. standard Hospital protocols like medical optimisation, intravenous line placement , pre-medication and antibiotic prophylaxis was followed. Then the patient were randomised into two groups and blinding was done. In the operation room monitors for non-invasive BP ,electro cardiogram and pulse oximeter were attached. Pain during rest and pain on 15 degree passive limb elevation was assessed by numeric rating score. In group a patient we will give pericapsular nerve block and in group we will give femoral nerve block using ultrasound guided needle . Drugs used in both the group are same that is 0.25% Bupivacaine 20 ML. after the operation patient will be shifted to post op recovery room. In post-operative period, pulse rate, NIBP, and saturation will be recorded at regular intervals and post-operative pain. Relief will be assessed by numeric rating scoring immediately after surgery then at(2,4,6,8,10,12 hrs), and then the demand for first dose of analgesia was recorded and complication if any.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 75

Inclusion Criteria

Patients of age 18-70yrs Patients under ASA I and ASA II Patients undergoing hip surgery who have pain and difficulty in positioning during spinal anaesthesia.

Exclusion Criteria

patients refusal to participate in the study patients taking anticoagulants Have an allergy or contraindication to the drug Have multiple trauma Have infection near the block site Have clinically significant neurological,cardiovascular,renal or hepatic disease.
ASA III-V patients patients undergoing hip surgery who can sit properly without complaining any pain for spinal anaesthesia.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
PRIMARY OUTCOME- To compare pericapsular nerve block & femoral nerve block for relieving positional pain during regional anaesthesia in hip fractures.	5 hours

Secondary Outcome Measures

Name	Time	Method
SECONDARY OUTCOME-The secondary outcome in the study is to provide postoperative pain relief in hip surgery by giving preoperative nerve block (pericapsular nerve block & femoral nerve block)and comparing the efficacy of both.	12 hrs

Trial Locations

Locations (1): Institute of Medical Sciences and Sum Hospitall
🇮🇳
Khordha, ORISSA, India
Institute of Medical Sciences and Sum Hospitall
🇮🇳Khordha, ORISSA, India
Dr Rojalin Sahoo
Principal investigator
8763998801
drrojalinsahoo@gmail.com