Femoral Nerve Block vs Peri-capsular Nerve Group Block for Hip Fracture Analgesia

Not Applicable

Completed

• Conditions: Hip Fractures; Spinal Anesthesia; Analgesia
• Interventions: Other: femoral nerve block; Other: peri-capsular nerve group block

• Registration Number: NCT05444803
• Lead Sponsor: Antalya Training and Research Hospital

Brief Summary

The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia

Detailed Description

Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.

Study Timeline

• Status Verified: 2022-06
• Study First Submitted: 2022-06-20
• Study First Submitted QC: 2022-07-01
• Study Start: 2022-07-06
• Study First Posted: 2022-07-06
• Primary Completion: 2022-11-07
• Study Completion: 2022-12-19
• Last Update Submitted: 2023-03-09
• Last Update Posted: 2023-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

• patients with hip fracture scheduled for surgery under spinal anesthesia.

Exclusion Criteria

• hemorrhagic diathesis,
• peripheral neuropathy,
• allergy to local anesthetics,
• mental disorders,
• use of analgesics for 8 h before the performance of spinal block

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Femoral nerve block group	femoral nerve block	Thirty minutes before the placement of spinal block, patients will be receive a femoral nerve block with Bupivacaine.
Peri-capsular nerve group block group	peri-capsular nerve group block	Thirty minutes before the placement of spinal block, patients will be receive a peri-capsular nerve group block with Bupivacaine.

Primary Outcome Measures

Name	Time	Method
Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia	30 minutes	Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain).

Secondary Outcome Measures

Name	Time	Method
Rate of pain scores at rest	30 min	Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance.
Rate of pain scores on passive limb lifting	30 min	Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance.
Amount of postoperative analgesic consumption	24 hours	Postoperative analgesic consumption will be recorded for postoperative 24 hours
rate of postoperative pain scores	24 hours	Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively.

Trial Locations

Locations (1)

Antalya Training and Research Hospital; 🇹🇷 Antalya, Turkey