Study to compare postoperative analgesic efficacy between Fascia Iliaca block and PENG block

Not yet recruiting

Conditions: Acquired deformity of pelvis,

Registration Number: CTRI/2020/02/023640

Lead Sponsor: Lady Hardinge Medical College

Brief Summary: Hip fracture is a common orthopedic emergency in the elderly and is associated with significant morbidity and mortality, surgical reductions and fixations are the definitive treatments in most patients. Adequate pain relief is essential in the postoperative period . Initially intravenous patient controlled analgesia and epidural analgesia were used . these have been replaced by various peripheral nerve blockade techniques ; these include lumbar plexus block , psoas compartment block , femoral nerve block and so on . Recently fascia iliaca block and (Pericapsular Nerve Group ) PENG block have been proposed for the same ,but there has been no comparative study regarding the two blocks . These peripheral nerve blocks have been found to be associated with reduced motor blockade , early ambulatory outcomes , adequate analgesia and decreased requirement of opioids .

This study is a randomized controlled trial to assess the efficacy of fascia iliaca and PENG block in the postoperative period. The selection of the patients for the block will be done by computer generated random table and both the blocks will be given preoperatively and catheter will be placed at the site of the block and infusion pumps containing the drugs will be attached to the catheter. The surgery will be done under spinal anaesthesia and the catheter will be placed for 48 hours postoperative duration.

Following observations will be made

1. Mean NRS ( Numerical Rating Scale) score at 0 , 4,8,12, and 24 hours postoperatively

2. Change in NRS score while positiong for spinal anaesthesia

3. Mean dosage of 24 hours postopearive analgesic requirement

4. Proportion of catheter and drug related complications

Data will be collected and compiled in an excel sheet and will be analyzed statistically .

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 80

Inclusion Criteria

AGE> 18 Years 2.
Patients planned for hip fixation surgery under spinal anaesthesia.

Exclusion Criteria

Patientâ€™s refusal 2.
Any known drug allergies.
Contraindication to nerve block like coagulopathy, bleeding diathesis and local infections.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Mean NRS Score at 0,4,8,12, 24 hours postoperatively in patients at rest and in movement	1. 0,4,8,12,24 hours postoperatively

Secondary Outcome Measures

Name	Time	Method
1.Change in NRS score while positioning for spinal anaesthesia	2. Mean dosage of 24 hours postoperative analgesic requirements

Trial Locations

Locations (1): Lady Hardinge Medical College
🇮🇳
Central, DELHI, India
Lady Hardinge Medical College
🇮🇳Central, DELHI, India
Siddharth Thakur
Principal investigator
9717136557
siddgarastdujy@gmail.com