Pericapsular Nerve Group Block in Hip Arthroplasty

NCT04336059 | Completed

• 1 other identifier: hip arthroplasty
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Peripheral nerve blocks are becoming increasingly popular for hip surgery anesthesia. Modern regional anesthesia for major hip surgery includes the use of a single shot and continuous epidural or spinal injections, continuous lumbar plexus blockade and continuous peripheral blockade of the femoral nerve (FN), fascia iliaca (FI) block, 3-in-1 FN block and sciatic nerve. The use of either single shot or continuous peripheral nerve blocks are becoming increasingly popular. This study will be conducted to evaluate the effect of ultrasound guided pericapsular nerve group block in hip arthroplasty surgery.

Conditions

Post Operative Pain After Hip Arthroplasty

Outcome Measures

Primary Outcomes (1)

• first time of rescue analgesia.

  first time of rescue morphine analgesia.

  postoperative first day

Secondary Outcomes (2)

• postoperative morphine consumption

  postoperative first day

• pain score

  postoperative first day

Study Arms (2)

group 1

OTHER

will receive sham PENG block with normal saline in total volume of 20 ml.

Procedure: pericapsular nerve group block

group 2

EXPERIMENTAL

will receive real PENG block with bupivacaine (0.25%) in total volume of 20 ml.

Procedure: pericapsular nerve group block

Interventions

pericapsular nerve group block PROCEDURE

The regional block will be performed with the patient in the supine position under complete sterile technique. A low frequency curvilinear ultrasound probe will be initially placed in a transverse plane over the anterior inferior iliacspine (AIIS) and then aligned with the pubic ramus by rotating the probe counterclockwise approximately 45 degrees. In this view, the iliopubic eminance(IPE), the iliopsoas muscle and tendon, the femoral artery, and pectineus muscle will observed. A 22-gauge, 80-mm needle will be 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 after local infiltration of the site of the block with 3 ml lidocaine 2%. Following negative aspiration,the normal saline solution will injected in 5-mL increments while observing for adequate fluid spread in this plane.

group 1; group 2

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients will involve in the research if they will schedule for unilateral hip arthroplasty (THA) surgery.
• aged more than 50 years of both genders.
• have American society of anesthiologists physical status I-II and III.

You may not qualify if:

• Revision hip arthroplasty.
• hip arthroplasty. combined with subtrochanteric shortening osteotomy.
• drug allergy.
• regular narcotic use.
• renal \&/ or hepatic impairments.
• coagulopathy disorders.

Sponsors & Collaborators

• Tanta University: lead

Study Sites (1)

Tarek Abdel Hay

Tanta, El Gharbyia, 31527, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: April 3, 2020
• First Posted: April 7, 2020
• Study Start: May 1, 2020
• Primary Completion: November 30, 2020
• Study Completion: December 30, 2020
• Last Updated: February 17, 2021

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)