Comparison of Pericapsular Nerve Group Block, Quadratus Lumborum Block and Lumbar Erector Spinae Plane Block for Acute Pain Management in Total Hip Surgery: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Total amount of rescue analgesia
研究概览
简要总结
The aim of this study is to compare between Pericapsular Nerve Group Block, Erector Spinae Plane Block and Quadratus Lumborum Block for managing acute postoperative pain in patients undergoing total hip surgeries under spinal anesthesia.
详细描述
Total hip surgeries are one of the most common major orthopedic procedures to improve patient's functional status and quality of life. However, despite these advantages, the immediate postoperative period can be associated with severe pain that delays mobilization and increases hospital stay and the risk of thromboembolic events.
Various methods are used for postoperative pain management. Intravenous opioid agents are among them, but they may cause undesirable side effects, such as respiratory depression, sedation, constipation, allergic reaction, nausea, and vomiting. Thus, alternative techniques are preferred.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-65 years
- •Both genders
- •Body mass index < 40 kg/m^2
- •American Society of Anesthesiologists (ASA) physical status I-III
- •Posted for total hip surgeries under spinal anesthesia
排除标准
- •The presence of contraindications or allergy to local anesthetic agents
- •Chronic use of opioids or corticosteroids
- •Infection at the puncture site
- •Coagulopathy
- •Psychiatric disorders (dementia or cognitive impairment.
结局指标
主要结局
Total amount of rescue analgesia
时间窗: 24 hours postoperatively
Total amount of rescue analgesia in the form of morphine will be recorded
次要结局
- First analgesic request(24 hours Postoperatively)
- Adverse events(48 hours Postoperatively)
- Pain level(48 hours Postoperatively)
研究者
Mohamed Fouad Algyar
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Kafrelsheikh University