Pericapsular Nerve Group Block Versus Fascia Iliaca Block for Pre- and Post-Operative Analgesia in Elderly Patients With Hip Fracture
Overview
- Phase
- Not Applicable
- Intervention
- Fentanyl
- Conditions
- Hip Fractures
- Sponsor
- Zagazig University
- Enrollment
- 51
- Primary Endpoint
- Comparison between the analgesic effect of both Pericapsular Nerve Group block and Fascia Iliaca block with VAS score.
- Last Updated
- 5 years ago
Overview
Brief Summary
Clinical controled trial to compare between pericapsular Nerve Group Block and Fascia Iliaca Block to find the best way to provide analgesia for elderly patients with hip fracture in the pre- and post-operative periods.
Detailed Description
Pain is a major problem that has to be dealt with in case of hip fracture, as it resembles an obstacle for examination, positioning for receiving neuroaxial anesthesia and postoperative mobility and physiotherapy. With the introduction of ultrasound in regional anesthesia and peripheral nerve blocks, regional analgesia float to the surface as a substitute for opioids with less side effects. Of the many techniques to provide regional analgesia for hip fractures; fascia iliaca block was widely used with good results. In 2018 Pericapsular Nerve Group Block was introduced to provide regional analgesia for hip fractures with interesting results. In this study the investigators are going to compare Pericapsular Nerve Group Block and Fascia Iliaca Block to find the best way to provide analgesia for elderly patients with hip fracture in the pre- and post-operative periods.
Investigators
Khaled Moustafa Magdy Nasr Mohamed
Principal Investigator
Zagazig University
Eligibility Criteria
Inclusion Criteria
- •Patient acceptance.
- •Accepted mental state of the patient.
- •Gender: both sexes.
- •Age above 65 years old.
- •Body mass index 18.5-35 kg/m
- •ASA physical status II and III.
- •Unilateral hip fracture assigned for surgical fixation.
- •Expected duration of surgery ≤ 3 hours.
Exclusion Criteria
- •Associated trauma or multiple fractures.
- •Peripheral neuropathy.
- •Coagulopathy.
- •Infection at site of injection.
- •Allergy to the drugs used in the study.
- •Advanced kidney, liver or heart disease.
Arms & Interventions
Group C
Patients will be assigned to receive opioids analgesia before spinal anesthesia in the form of intravenous fentanyl in a dose of 1mic/kg divided into two boluses with 5 minutes interval in between before positioning the patient for spinal anesthesia.
Intervention: Fentanyl
Group P
Patients will be assigned to receive Pericapsular Nerve Group Block (PENG Block) before positioning the patient for spinal anesthesia.
Intervention: Pericapsular nerve Group block
Group F
Patients will be assigned to receive Fascia Iliaca Block (F.I Block) before positioning for spinal anesthesia.
Intervention: Facia Iliaca block
Outcomes
Primary Outcomes
Comparison between the analgesic effect of both Pericapsular Nerve Group block and Fascia Iliaca block with VAS score.
Time Frame: Baseline
Analysis of Visual Analogue Pain Score for both PENG block and FI block before and after each block during rest and movement to compare between their analgesic effect. The Visual Analogue Pain score is done by drawing a 10cm vertical line on a piece of paper with its limits "no pain" (0) on one side and "extreme pain" (10) on the other side. The patient will be asked to point where the pain (he/she) experiences lies on the line.