Evaluation of Pericapsular Nerve Group Block on Positioning Pain for Spinal Anesthesia in Hip Fracture Patients
Overview
- Phase
- Not Applicable
- Intervention
- PENG Block
- Conditions
- Pain, Acute
- Sponsor
- Cigli Regional Training Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Pain scores on the Numeric Rating Scale (NRS)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
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.
Investigators
Hakan Aygün
principle investigator
Cigli Regional Training Hospital
Eligibility Criteria
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
Arms & Interventions
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.
Intervention: PENG Block
Control
in this group, standardised opioid doses (drug: Fentanyl) will be used for analgesia for positioning pain
Intervention: Conventional opioid analgesia (Fentanyl)
Outcomes
Primary Outcomes
Pain scores on the Numeric Rating Scale (NRS)
Time Frame: 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 Outcomes
- Quality of patient's position(Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block))
- Duration of spinal anesthesia performance(Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block))
- Analgesic consumption(24 hours)