Role of Pericapsular Nerve Group (PENG) block for Enhanced Recovery After Surgery (ERAS) for femur fracture surgery
Trial Snapshot
- Phase
- Phase 2/3
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Quality of recovery score
Study Overview
Brief Summary
BACKGROUND: ERAS (Enhanced Recovery After Surgery) is a fast track program to boost the outcome of recovery after surgery. For orthopaedic procedures, peripheral blocks have been recommended for ERAS. The pericapsular nerve group (PENG) block is a regional anaesthesia technique that targets the nerves supplying the anterior capsule of hip with an additional advantage of motor sparing of quadriceps muscle. We plan to conduct a study to evaluate the role of PENG block for ERAS for orthopaedic procedures.
MATERIAL AND METHOD: Patients will be randomly allocated into one of the two groups of 30 patients each. Group A: Prepocedure PENG block will be given 15 minutes prior and the surgery will be performed under spinal anaesthesia. Group B: Preprocedure IV Injection tramadol 2mg/kg will be given 15 minutes prior and the surgery will be performed under spinal anaesthesia
STATISTICAL ANALYSIS: Thus, data will be compiled and statistically analysed
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients with femur fracture 2) ASA grade I, II.
Exclusion Criteria
- •Lack of patient’s consent 2) Skin infection at site of injection 3) Allergic to drugs used 4) Patients suffering from bleeding diathesis or coagulation disorders 5) Cognitive impairment 6) Neuromuscular disorder 7) Patients being treated with anticoagulants or antithrombotic medications.
Outcomes
Primary Outcomes
Quality of recovery score
Time Frame: Post-surgery arrival to post-anaesthesia care unit and discharge after 24 hours. Postoperative observation in the ward till 48 hours. | Then at the time of discharge from hospital.
Secondary Outcomes
- 1) Time to first request for analgesic following spinal anaesthesia postoperatively(2) Quadriceps power during first 24 hours post surgery)
Investigators
Dr Ruchi Gupta
Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar