Pericapsular Nerve Group (PENG) Block Versus Supra-inguinal Fascia Iliaca Compartment Block for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Total Hip Arthroplasty
- Sponsor
- Yonsei University
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Numeric rating scale pain score
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Adequate pain control after total hip arthroplasty is crucial for early ambulation and patient satisfaction. The supra-inguinal fascia iliaca compartment block has been described as a promising technique for primary total hip arthroplasty. However, one of the concerns with supra-inguinal fascia iliaca compartment block is still the potential for quadriceps weakness that might delay ambulation. The pericapsular nerve group (PENG) block has been recently introduced a new technique for blockade of the articular branches of the femoral, obturator and accessory obturator nerves. PENG block is possible to provide sufficient analgesia and preserve lower limb muscle strength. The investigators will compare ultrasound-guided supra-inguinal fascia iliaca compartment block with PENG block in patients undergoing total hip arthroplasty.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged 19 years old or older, with American Society of Anesthesiologists Physical Status 1-3
- •scheduled for elective unilateral total hip arthroplasty
Exclusion Criteria
- •Allergy or intolerance to any of the drugs used in the study
- •Hepatic or renal insufficiency
- •Opioid dependency
- •Coagulopathy
- •Pre-existing neurologic or anatomic deficits in the lower extremities
- •Severe psychiatric illness
Outcomes
Primary Outcomes
Numeric rating scale pain score
Time Frame: 48 hours after the surgery
Pain intensity at rest and during 45-degree passive flexion of the hip with the ipsilateral knee flexed naturally will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain)
Secondary Outcomes
- Quadriceps muscle strength(at 36 hours postoperatively)