PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

NCT05549011 | Completed

• 1 other identifier: 326
• Study Type: observational
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Conditions

Hip Fractures; Acute Post Operative Pain; Nerve Block; Spinal Anesthesia

Outcome Measures

Primary Outcomes (1)

• Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS)

  NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible

  30 minutes after the block is placed

Secondary Outcomes (2)

• Sitting angle during positioning

  30 minutes after the block is placed

• Postoperative pain with 10-point numeric rating scale (NRS)

  Postoperative day 1

Study Arms (2)

PENG block

This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia

Other: PENG Block; Diagnostic Test: Numeric Rating Scale; Diagnostic Test: Angle of sitting

SIFI block

This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia

Other: SIFI compartment block; Diagnostic Test: Numeric Rating Scale; Diagnostic Test: Angle of sitting

Interventions

PENG Block OTHER

PENG block for analgesic purposes performed before hip surgery

PENG block

SIFI compartment block OTHER

SIFI compartment block for analgesic purposes performed before hip surgery

SIFI block

Numeric Rating Scale DIAGNOSTIC_TEST

Self-reported pain intensity score between 0-10

PENG block; SIFI block

Angle of sitting DIAGNOSTIC_TEST

Measurement of sitting angle in degrees with a protractor

PENG block; SIFI block

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants will be recruited from a population of patients in a tertiary medical care center who are scheduled to undergo hip fracture surgery with spinal anesthetics and to whom either of the analgesic blocks PENG or SIFI compartment block is placed.

You may qualify if:

• Adults with a hip fracture
• who were scheduled to undergo surgery with spinal anesthetics
• has no neurologic disorders that impair cooperation (e.g dementia)
• has no true allergies to local anesthetics
• has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

You may not qualify if:

• Childer under the age of 18
• patients scheduled to undergo surgery with general anesthetics
• refusing to participate
• allergies to local anesthetics
• any neurologic disorder that impairs patient cooperation
• any contraindication to regional or neuraxial anesthetics

Sponsors & Collaborators

• Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization: lead

Study Sites (1)

Prof. Dr. Cemil Taşcıoğlu City Hospital

Istanbul, 34384, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hip Fractures; Pain, Postoperative

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Onur OKUR

  Prof. Dr. Cemil Taşcıoğlu City Hospital

  PRINCIPAL INVESTIGATOR

• Müslüm AKKILIC

  Prof. Dr. Cemil Taşcıoğlu City Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 17, 2022
• First Posted: September 22, 2022
• Study Start: September 20, 2022
• Primary Completion: January 20, 2023
• Study Completion: January 20, 2023
• Last Updated: March 7, 2023

Record last verified: 2023-03

Locations

TU (1)