Peri-capsular Nerve Group Block Versus Fascia Iliaca Block for Hip Arthroplasty

NCT03783247 | Unknown

• 1 other identifier: Swelam PENG block
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, the investigator will examine the efficacy of Pericapsular nerve group (PENG) block in hip surgeries as a post-operative pain management technique in comparison with fascia Iliaca block in hip surgeries

Conditions

Post Operative Pain Management

Outcome Measures

Primary Outcomes (1)

• morphine consumption

  total morphine consumption over 24 hours

  24 hours

Secondary Outcomes (2)

• pain scale Visual analogue Scale

  24hours

• muscle power

  24 HOURS

Study Arms (2)

FIB

EXPERIMENTAL

hip fracture with fascia Iliaca block

Procedure: Fascia Iliaca BLock

PENG

EXPERIMENTAL

Hip fracture with Pericapsular nerve group block

Procedure: Pericapsular nerve group block

Interventions

Pericapsular nerve group block PROCEDURE

The regional block was performed with the patient in the supine position. A curvilinear low-frequency ultrasound probe (2-5MHz) was initially placed in a transverse plane over the AIIS and then aligned with the pubic ramus by rotating the probe counterclockwise approximately 45 degrees (Figs. 2, 3). In this view, the IPE, the iliopsoas muscle and tendon, the femoral artery, and pectineus muscle were observed. A 22-gauge, 80-mm needle was inserted from lateral to medial in an in-plane approach to place the tip in the musculofascial plane between the psoas tendon anteriorly and the pubic ramus posteriorly. Following negative aspiration, the local anesthetic solution (20ml of bupivacaine 0.25%) was injected in 5-mL increments while observing for adequate fluid spread in this plane for a total volume of 30 mL

Also known as: PENG

PENG

Fascia Iliaca BLock PROCEDURE

In supine position, a high frequency linear probe will be placed in the inguinal crease. Scan starting laterally from the femoral artery and nerve in inguinal crease to identify the sartorius muscle, tracing the muscle until it's origin to anterior superior iliac spine. The shadow of the bony of iliac crest \& iliacus muscle will be seen, the end point of the injection is deep to the fascia iliaca and above the iliacus muscle in the lateral part of the iliacus muscle. After negative aspiration, 30 mL of 0.25 % of bupivacaine will be injected under the fascial plane incrementally, aspirating every 5 ml.

Also known as: FIB

FIB

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients scheduled for hip replacement surgeries e.g. hip hemiarthroplasty, total hip arthroplasty under subarachnoid block (SAB)

You may not qualify if:

• Coagulopathy
• infection at the injection site
• allergy to local anesthetics
• severe cardiopulmonary disease (≥ASA IV)
• diabetic or other neuropathies
• patients receiving opioids for chronic analgesic therapy
• contraindication to spinal anesthesia
• inability to comprehend visual analog scale (VAS).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Giza Governorate, 1234, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: To achieve double blinding, patients will receive the block by the anesthetist. Another doctor not involved in the block procedure will evaluate the patients postoperatively.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor

Model Details: randomized double-blinded

Study Record Dates

• First Submitted: December 18, 2018
• First Posted: December 21, 2018
• Study Start: February 15, 2019
• Primary Completion: May 31, 2019
• Study Completion: June 20, 2019
• Last Updated: December 21, 2018

Record last verified: 2018-12

Locations

EG (1)