Evaluation of Pericapsular Nerve Group (PENG) Block For Ease of Spinal Positioning (EOSP) During Sub Arachnoid Blockade in Hip Fracture Surgeries: A Prospective, Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To evaluate Pericapsular Nerve Group (PENG) block for ease of spinal positioning (EOSP) during sub arachnoid blockade in hip fracture surgeries
研究概览
简要总结
Hip fractures (inter trochanteric hip fractures, fracture neck of femur, total hip arthroplasty procedures) are some of the commonest fractures, especially in the elderly population. Spinal anaesthesia has been favored by most anaesthesiologists for hip fracture surgeries. Severe pain experienced during positioning for spinal anaesthesia can worsen the patient experience and complicate the technique of spinal anaesthesia. PENG block targets the articular branches of femoral nerve (FN), accessory obturator nerve (AON) and obturator nerve (ON) in providing analgesia for hip fractures. It is based on blocking articular branches to the hip joint, mostly anterior capsule of hip joint, using ultrasound guided injection of local anaesthetics and is utilized for ease of positioning patient perioperatively for administration of sub arachnoid block.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Age between 18 TO 80 years Patients belonging to American Society of Anesthesiologists ASA I TO III Inter trochanteric hip fractures Fracture neck of femur Total hip arthroplasty procedures.
排除标准
- •Coagulopathies Allergy to planned drugs Impaired cognition or dementia Shaft of femur fractures Local infection at the injection site Any previous analgesic administration during the last 6 hours.
结局指标
主要结局
To evaluate Pericapsular Nerve Group (PENG) block for ease of spinal positioning (EOSP) during sub arachnoid blockade in hip fracture surgeries
时间窗: At rest | At 15 minutes and at 30 minutes after Pericapsular Nerve Group Block(PENG)
To measure patients Visual Analogue Scale (VAS) score and 15-degree passive Straight leg raise (SLR) VAS at rest, at 15 min and at 30 min after the PENG block
时间窗: At rest | At 15 minutes and at 30 minutes after Pericapsular Nerve Group Block(PENG)
次要结局
- To measure the hemodynamics [Heart rate (HR) & Mean Arterial (Blood Pressure (MAP)] at rest(at 15 min & at 30 min after PENG block)
研究者
Dr Nallapothula Udayini
Yenepoya Medical College Hospital