Comparison Of Combination Of Pericapsular Nerve Group (PENG) Block And Lateral Femoral Cutaneous Nerve (LFCN ) Block Vs Combination Of Femoral Nerve Block And LFCN Block For Post Op Analgesia And Satisfaction For Total Hip Replacement Surgery (THR).
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- To compare percentage of patients with mild pain on hip flexion of 30 degree at 6 hours after the surgery
Study Overview
Brief Summary
Total hip replacement (THR) is a widely performed surgery designed to relieve hip joint pain and improve function by replacing the joint with a prosthetic implant. Effective postoperative pain management is essential, as it not only enhances comfort but also enables quicker mobilization. Pain management strategies typically include opioid-based analgesics and regional anesthesia techniques, such as femoral nerve blocks, fascia iliaca compartment blocks, and more recently, the pericapsular nerve group (PENG) block, introduced in 2018. Unlike other blocks, PENG specifically targets hip sensory nerves, potentially reducing opioid requirements and promoting faster recovery due to its minimal impact on motor function. Combining PENG with a lateral femoral cutaneous nerve (LFCN) block has shown even better pain relief, addressing both hip and thigh discomfort. This study aims to compare the effectiveness of combining femoral and LFCN blocks with the PENG and LFCN block combination in managing THR postoperative pain
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA 1 and 2 patients.
- •THR patients will be included.
Exclusion Criteria
- •Emergency surgery CKD Bleeding diathesis or patients on anticoagulant Traumatic THR any psychiatric illness.
- •Not willing for the procedures.
- •Allergy to drugs.
Outcomes
Primary Outcomes
To compare percentage of patients with mild pain on hip flexion of 30 degree at 6 hours after the surgery
Time Frame: 6 hours after completion of surgery
Secondary Outcomes
- Duration of analgesia(Incidence of adverse events)
Investigators
DR HRIDAYESH KUMAR
PGIMER CHANDIGARH