Efficacy of Combining Ultrasound-guided Posterior Pericapsular Deep Gluteal Block to Both Pericapsular Nerve Group and Lateral Femoral Cutaneous Nerve Blocks for Postoperative Analgesia in Orthopedic Hip Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Evaluation of Postoperative analgesic effect through Numerical Rating Scale Pain Score.
研究概览
简要总结
This study aims to investigate the efficacy of adding a Posterior Pericapsular Deep gluteal block to two other standard nerve blocks-the Pericapsular Nerve Group block and the Lateral Femoral Cutaneous Nerve block-for patients undergoing orthopedic hip surgery. While standard blocks target the front of the hip, many patients still feel pain in the back (posterior) of the joint. Researchers will compare two groups of patients to see if this triple-block combination provides better pain relief and reduces the need for rescue opioid medications in the 24 hours following surgery.
详细描述
Patients undergoing elective orthopedic hip surgery will be randomly assigned to one of two groups. Both groups will receive general anesthesia followed by ultrasound-guided nerve blocks. Group 1 will receive a Pericapsular Nerve Group block and a Lateral Femoral Cutaneous Nerve block using 0.25% bupivacaine. Group 2 will receive these same two blocks plus an additional Posterior Pericapsular Deep gluteal block, also using 0.25% bupivacaine.
The primary goal is to evaluate postoperative pain using the Numerical Rating Scale at 6, 12, and 24 hours for both static and dynamic states. Secondary objectives include assessing quadriceps muscle strength using the Lovett Grading Method, measuring total rescue analgesia (nalbuphine) consumption, and monitoring for any complications or differences in length of hospital stay.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age greater than or equal to 18 years.
- •Both genders included.
- •American Society of Anesthesiologists (ASA) physical status classification I-III.
- •Undergoing elective orthopedic hip surgery.
- •Provision of written informed consent.
排除标准
- •Patient refusal of procedure or participation.
- •American Society of Anesthesiologists (ASA) physical status classification IV.
- •Allergy to any of the drugs used in the study.
- •Local skin infection at the injection site.
- •Coagulation disorder.
- •History of cardiac arrhythmia, seizures, or increased intracranial tension.
- •Alcohol or drug abuse, or psychiatric disease.
- •History of chronic pain.
研究组 & 干预措施
Pericapsular Nerve Group and Lateral Femoral Cutaneous Nerve Blocks.
Patients receive ultrasound-guided Pericapsular Nerve Group block and Lateral Femoral Cutaneous Nerve block using 10-15 ml of 0.25% bupivacaine for each block.
干预措施: Pericapsular Nerve Group and Lateral Femoral Cutaneous Nerve Blocks. (Procedure)
Posterior Pericapsular Deep Gluteal, Pericapsular Nerve Group, Lateral Femoral Cutaneous Nerve Block
Patients receive ultrasound-guided Pericapsular Nerve Group block, Lateral Femoral Cutaneous Nerve block, and Posterior Pericapsular Deep gluteal block using 10-15 ml of 0.25% bupivacaine for each block.
干预措施: Posterior Pericapsular Deep Gluteal, Pericapsular Nerve Group, and Lateral Femoral Cutaneous Nerve Blocks. (Procedure)
结局指标
主要结局
Evaluation of Postoperative analgesic effect through Numerical Rating Scale Pain Score.
时间窗: 6, 12, and 24 hours postoperatively.
Evaluation of postoperative analgesic effect through the Numerical Rating Scale for both static and dynamic pain. Static pain is measured after the patient has rested in bed for 15 minutes. Dynamic pain is measured with the hip joint flexed to 45 degrees. The scale ranges from 0 (no pain) to 10 (worst possible pain).
次要结局
- Quadriceps Femoris Muscle Strength.(1 hour before patient movement.)
- Total Rescue Analgesia Consumption.(First 24 hours postoperatively.)
- Length of Hospital Stay.(Approximately 24-72 hours (up to hospital discharge).)
- Occurrence of Postoperative Complications.(First 24 hours postoperatively.)