Pericapsular Nerve Group (PENG) Block Combined With Periarticular Multimodal Drug Injection (PMDI) Versus Isolated PMDI for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Numeric rating scale pain score
研究概览
简要总结
Adequate pain control after total hip arthroplasty is crucial for early ambulation and patient satisfaction. However, there is no consensus about optimal pain control after post operation. In general, the periarticular multimodal durg injection block has been done for pain control in primary total hip arthroplasty. The pericapsular nerve group (PENG) block has been recently introduced a new technique for blockade of the articular branches of the femoral, obturator and accessory obturator nerves. PENG block is possible to provide sufficient analgesia and preserve lower limb muscle strength. The investigators will compare PENG and PMDI block with isolated PMDI block in patients undergoing total hip arthroplasty.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1. Patients aged 19 years old or older, with American Society of Anesthesiologists Physical Status 1-3, and scheduled for elective unilateral total hip arthroplasty
排除标准
- •Allergy or intolerance to any of the drugs used in the study
- •Hepatic or renal insufficiency
- •Opioid dependency
- •Coagulopathy
- •Pre-existing neurologic or anatomic deficits in the lower extremities
- •Severe psychiatric illness
研究组 & 干预措施
Pericapsular nerve group(PENG) block combined with periarticular multimodal drug injection (PMDI)
Participants receiving pericapsular nerve group(PENG) block combined with periarticular multimodal drug injection (PMDI)
干预措施: Pericapsular nerve group(PENG) block combined with periarticular multimodal drug injection (PMDI) (Procedure)
isolated periarticular multimodal drug injection (PMDI)
Arm Description: Participants receiving isolated periarticular multimodal drug injection (PMDI)
干预措施: isolated periarticular multimodal drug injection (PMDI) (Procedure)
结局指标
主要结局
Numeric rating scale pain score
时间窗: at 24 hours postoperatively
Pain intensity at rest evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) at 24 hours postoperatively
次要结局
- Pain score measured at 6 hours postoperatively and 48 hours postoperatively(Pain score measured at 6 hours postoperatively and 48 hours postoperatively)