A double blinded prospective study comparing ultrasound guided pericapsular nerve block(PENG) & femoral nerve block for minimizing positional pain in hip fractures patients posted for surgery
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- PRIMARY OUTCOME- To compare pericapsular nerve block & femoral nerve block for relieving positional pain during regional anaesthesia in hip fractures.
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
PRIMARY OUTCOME- To compare pericapsular nerve block & femoral nerve block for relieving positional pain during regional anaesthesia in hip fractures.
时间窗: 5 hours
次要结局
- 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)