Peri-articular Nerve Group Block Versus Fascia Iliaca Block on Postoperative Pain After Hip Arthroscopy

NCT04423419 | Unknown

• 1 other identifier: postoperative pain
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study aims to evaluate the efficacy of pericapsular nerve group block versus fascia iliaca block in reducing post operative pain within the first 24 hours following hip arthroscopy

Conditions

Analgesia

Keywords

post operative pain; hip arthroscopy

Outcome Measures

Primary Outcomes (1)

• evaluate the efficacy of pericapsular nerve group block versus fascia iliaca block in reducing post operative pain within the first 24 hours following hip arthroscopy

  by question the patient about pain and its degree using visual analogue pain score( VAS score),it takes score from (0-10) according to severity of pain ,higher score indicates greater pain intensity.

  24 hours

Secondary Outcomes (1)

• duration of the analgesic effect of the block

  24 hours

Study Arms (3)

A

OTHER

will undergo Peri -articular nerve group block for hip joint under ultrasound guide as analgesia post operative after hip arthroscopy

Procedure: PENG block

B

OTHER

will undergo ultrasound guided fascia iliaca block as postoperative analgesia after hip arthroscopy

Procedure: fascia iliaca block

C

OTHER

will receive ordinary IV analgesia during operation hip arthroscopy

Other: IV analgesia

Interventions

PENG block PROCEDURE

The US probe placed in a transverse plane over the AIIS . 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 to place the tip in the musculofascial plane between the psoas tendon anteriorly and the pubic ramus posteriorly. Following negative aspiration, the local anesthetic drug was injected while observing for adequate fluid spread for a total volume of 20 mL of Bupivacain 0.25%

Also known as: injection of local anasthetics drug in peri-articular nerves of hip joint

A

fascia iliaca block PROCEDURE

ultrasound guidance landmarks are the anterior superior iliac spine and the pubic tubercle (inguinal ligament). The injection site along the lateral one-third of aline joining the anterior superior iliac spine (ASIS) and pubic tubercle (PT) targeting the compartment between fascia iliaca and fascia lata ,the total volume of injection is 20ml of Bupivacain 0.25%

Also known as: injection of local anathetics drug in fascia ilica space

B

IV analgesia OTHER

IV analgesia

Also known as: no block

C

Eligibility Criteria

• Age: 16 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• age 16-60 years old ASA physical status I or II scheduled for hip arthroscopy

You may not qualify if:

• pregnancy or breast feeding
• neurological deficits or neuropathy
• opioid addict
• local skin infections, bleeding diathesis, and coagulopathy

Sponsors & Collaborators

• Assiut University: lead

Related Publications (1)

• 1_ Colvin AC, Harrast J, Harner C. Trends in hip arthroscopy. J Bone Joint Surg Am 2012; 94: e23. 2_ Tan CO, Chong YM, Tran P et al. Surgical predictors of acute postoperative pain after hip arthroscopy. BMC Anesthesiol 2015; 15:96. 3- Jerry G. Xing,*yMD, MSc, FRCSC, Faraj W. Abdallah,zMD, Richard Brull,§MD, FRCPC,Stephanie Oldfield,§Andrew Dold,yMD, M. Lucas Murnaghan,||MD, MEd, FRCSC,and Daniel B. Whelan,{MD, FRCSC Preoperative Femoral Nerve Block for Hip Arthroscopy Randomized, Triple-Masked Controlled Trial The American Journal of Sports Medicine 2015 4_, Gardner E. The innervation of the hip joint. Anat Rec. 1948;101:353-371. 5_ Girón-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular nerve group (PENG) block for hip fracture. RegAnesth Pain Med. 2018; 43(8):859-63. 6_ Bhatia A, Hoydonckx Y, Peng P, Cohen SP. Radiofrequency procedures to relieve chronic hip pain. An evidence-based narrative review. Reg Anesth Pain Med. 2018;43:72-83. 7_S.M.White,R.Griffiths,J.Holloway,andA.Shannon,"AnaesthesiaforproximalfemoralfractureintheUK:firstreportfrom theNHShipfractureanaesthesianetwork,"Anaesthesia,vol.65, no.3,pp.243-248,2010.

  BACKGROUND

MeSH Terms

Conditions

Agnosia; Pain, Postoperative

Interventions

Analgesia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Postoperative Complications; Pathologic Processes; Pain

Intervention Hierarchy (Ancestors)

Anesthesia and Analgesia

Study Officials

• essam sharkawy, lecturer

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

safaa noaman, resident

CONTACT

201030333468; safa2gmsy@gmail.com

mahmoud kamel, lecturer

CONTACT

201006464560; Mahmoudkamel2015@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: the patient and the assessor will mask about type of block
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident doctor

Model Details: group A will undergo PENG block group B will undergo fascia iliaca block groupC will receive iv analgesia

Study Record Dates

• First Submitted: May 6, 2020
• First Posted: June 9, 2020
• Study Start: July 1, 2020
• Primary Completion: March 1, 2022
• Study Completion: April 1, 2022
• Last Updated: June 9, 2020

Record last verified: 2020-05