A comparative study to evaluate the analgesic efficacy of programmed intermittent bolus vs continuous infusion in pericapsular nerve group block for post operative analgesia in patients undergoing hip surgery.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Mean drug consumption in ml at the end of 24 hrs postopertively in both programmed intermittent bolus and continuous infusion n pericapsular nerve group block for analgesia.
研究概览
简要总结
Hip fixation surgery is definitive management for hip fracture. However pain after hip surgery can significantly increase both, the postoperative complications and morbidity which delay recovery.
Various methods have been described for providing postoperative analgesia after hip surgery. Intravenous patient controlled analgesia or epidural analgesia is most common method, but it is associated with inadequate analgesia and opioid associated complications.
In 2018,Giron-Arango et al described ultrasound guided pericapsular nerve group block(PENG) following hip fixation surgery. Many studies indicated that PANG block could provide sufficient analgesia with no to minimal opioid requirements in post operative period .It blocks the articular branches of femoral, obturator and accessory obturator nerve that provide sensory innervation to anterior hip capsule.
Many studies have been done in continuous infusion but there is limited literature on the programmed intermittent bolus method for postoperative analgesia via pericapsular nerve group block.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Adults patients ASA1 and ASA2 18-70 years posted for hip fixation surgery.
排除标准
- •Any known drug allergies.
- •Contraindications to nerve block like bleeding diathesis and local infection.
- •Patients requires general anaesthesia during surgey.
结局指标
主要结局
Mean drug consumption in ml at the end of 24 hrs postopertively in both programmed intermittent bolus and continuous infusion n pericapsular nerve group block for analgesia.
时间窗: 24 hours postoperatively.
次要结局
- Median NRS on rest pain at 0,4,8,12 and 24hours postoperatively(Rescue Analgesia (morphine equivalent) in mg/kg 24hrs postoperatively .)
研究者
Ravi Maurya
Lady Hardinge Medical College Delhi