Evaluation of Pericapsular Nerve Group Block on Positioning Pain for Spinal Anesthesia in Hip Fracture Patients

Not Applicable

Completed

• Conditions: Pain, Acute
• Interventions: Procedure: PENG Block; Drug: Conventional opioid analgesia (Fentanyl)

• Registration Number: NCT04871061
• Lead Sponsor: Cigli Regional Training Hospital

Brief Summary

The purpose of this study is to evaluate of analgesic effects of pericapsullar nerve group block which is performed preoperatively to assist positioning patients for performance of spinal anesthesia.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-04-25
• Study First Submitted QC: 2021-04-28
• Study First Posted: 2021-05-04
• Study Start: 2021-05-06
• Primary Completion: 2021-07-01
• Study Completion: 2021-07-05
• Status Verified: 2022-04
• Last Update Submitted: 2022-04-13
• Last Update Posted: 2022-04-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• hip fracture
• aged between 35 and 90 years old

Exclusion Criteria

• contraindications for spinal anesthesia and PENG block
• impaired cognition or dementia
• multiple fractures
• any previous analgesic administration during the last 12 hours

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PENG Block	PENG Block	For patients with hip fracture and having hip surgery this study evaluates the analgesic effects of Pericapsular Nerve Group (PENG) block for positioning before spinal anesthesia.
Control	Conventional opioid analgesia (Fentanyl)	in this group, standardised opioid doses (drug: Fentanyl) will be used for analgesia for positioning pain

Primary Outcome Measures

Name	Time	Method
Pain scores on the Numeric Rating Scale (NRS)	Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)	Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

Secondary Outcome Measures

Name	Time	Method
Duration of spinal anesthesia performance	Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)	It will be measured in "minutes", from the start of positioning maneuvers to the spinal needle removal
Quality of patient's position	Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block)	The position will be characterized as "unsatisfactory", "satisfactory", "good" or "very good"
Analgesic consumption	24 hours	In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.

Trial Locations

Locations (1)

Hakan Aygün; 🇹🇷 İzmir, Turkey