Comparison of Fascia Iliaca Block (FIB) versus Pericapsular Nerve Group (PENG) Block combined with Lateral Femoral Cutaneous Nerve (LFCN) versus PENG Block combined with FIB for postoperative pain control in Proximal Femoral Nail Antirotation (PFNA) Surgery
Phase 2
Recruiting
- Conditions
- Hip fracture patients undergoing proximal femoral nail antirotation (PFNA) surgery under spinal anesthesia in Ramathibodi hospitalPFNA, hip fracture
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 66
Inclusion Criteria
1. Hip fractures undergo PFNA for primary fixation under SA.,
2. American Society of Anesthesiologists (ASA) physical status I-IV,
3. Body weight > 40 kg
Exclusion Criteria
1. Body mass index (BMI) < 18 or > 35 kg/m2,
2. Contraindications to perform SA and PNB (e.g., patient refusal, skin puncture site infection, bleeding tendency, coagulopathy),
3. Hypersensitivity to local anesthetics,
4. Comorbidity such as neurocognitive impairment, communication problems, hepatic or renal failure, neuromuscular disease of lower extremities,
5. Chronic pain with history of long-term opioid use or abuse
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Static and dynamic pain score 24 hours postoperatively Numeric rating scale score
- Secondary Outcome Measures
Name Time Method Spinal block positioning 30 minutes post-procedure Ease of spinal positioning (EOSP) score,Pain score during SA positioning 30 minutes post-procedure NRS,Opioid consumtion 24 hours postoperatively MME (morphine milligram equivalent),Static and dynamic pain score 0, 6, 12, 48 hours postoperatively Numeric rating scale score,Time to first rescue opioid request Post-procedure Period of time,Quadriceps strength 24 hours postoperatively Bromage score