PENG and LFCN Block Versus FIC Block for Multimodal Analgesia After Total Hip Replacement Surgery: a Retrospective Analysis

NCT05916209 | Completed

• 1 other identifier: 044.677
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Optimal pain control with limited muscle weakness is paramount for a swift initiation of physical therapy and ambulation. Fascia iliaca compartment block (FICB) has been recommended since it offers the best pain control with low risk of motor block. Pericapsular nerve group block (PENG) with lateral femoral cutaneous nerve (LFCN) block has been proposed as an effective alternative to FICB that offers similar pain control with a considerably lower risk of motor block. This study aimed to compare the afore mentioned blocks and determine which one yielded the lowest NRS score.

Conditions

Regional Anesthesia Morbidity; Arthropathy of Hip; Hip Arthropathy

Keywords

total hip replacement surgery; primary hip arthritis

Outcome Measures

Primary Outcomes (3)

• pain control

  pain assessment with Numeric Rating Scale (NRS): a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"

  6 hours after surgery

• pain control

  pain assessment with Numeric Rating Scale (NRS): a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"

  12 hours after surgery

• pain control

  pain assessment with Numeric Rating Scale (NRS): a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"

  24 hours after surgery

Secondary Outcomes (3)

• MME of PRN opioid doses

  6 hours after surgery

• MME of PRN opioid doses

  12 hours after surgery

• Morphine Milligram Equivalents (MME) of "pro re nata" (PRN) opioid doses

  24 hours after surgery

Other Outcomes (2)

• time to first opioid request

  From date of surgery until up to 3 days after

• time to first postoperative ambulation

  From date of surgery until up to 100 days after

Study Arms (2)

PENG + LFCN Block

group in which PENG + LFCN Block was performed

Procedure: Peripheral nerve blocks

FIC Block

group in which FIC Block was performed

Procedure: Peripheral nerve blocks

Interventions

Peripheral nerve blocks PROCEDURE

Peripheral nerve blocks provide intense, site-specific analgesia administring local anesthetics near the nerves.

FIC Block; PENG + LFCN Block

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

primary hip replacement surgery

You may qualify if:

• elective total hip replacement surgery for non-traumatic hip disease, age \>18 years, complete clinical chart included the type of peripheral nerve block performed, signed consent form for spinal anesthesia and peripheral nerve block.

You may not qualify if:

• incomplete chart, a peripheral nerve block other than PENG or FIC block was performed

Sponsors & Collaborators

• Ospedale Edoardo Bassini: lead

Study Sites (1)

Ospedale Edoardo Bassini

Cinisello Balsamo, Milano, 20092, Italy

Location

Related Publications (39)

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Study Design

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

Study Record Dates

• First Submitted: May 19, 2023
• First Posted: June 23, 2023
• Study Start: February 1, 2023
• Primary Completion: March 1, 2023
• Study Completion: March 1, 2023
• Last Updated: June 23, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)