Efficacy of Pericapsular Nerve Group (PENG) Block for Hip Surgeries

NCT06144931 | Unknown

• 1 other identifier: 4972#
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

To study the efficacy of the PENG block on the duration of postoperative analgesia. There are two groups of patients, who are undergoing hip joint surgeries, one group (Control Group) will receive spinal anesthesia only while the other group (PENG Group) will receive PENG block before spinal anesthesia.

Conditions

Pain, Postoperative

Keywords

PENG; Hip Joint Surgeries; postoperative analgesia

Outcome Measures

Primary Outcomes (1)

• The time of first request of analgesia in both groups

  The time of first request of analgesia in both groups in minutes

  24 hours postoperative

Secondary Outcomes (4)

• Evaluate the morphine consumption over the first 24 hours.

  24 hours postoperative

• Evaluate the regaining of motor function of quadriceps muscle in both groups

  24 hours postoperative

• The incidence of occurrence of side effects related to the technique and medications in both groups

  24 hours postoperative

• difference in Visual Analogue Score (VAS) pain score in the first 24 hours postoperative between the two groups

  first 24 hours postoperative

Study Arms (2)

Control Group

NO INTERVENTION

Patients in this group will be operated under spinal anesthesia

PENG Group

ACTIVE COMPARATOR

Patients in this group will undergo PENG block guided by ultrasound then spinal anesthesia will performed

Procedure: PENG Block

Interventions

PENG Block PROCEDURE

With the patient in the supine position, the ultrasound probe is placed on a transverse plane over the anterior superior iliac spine (ASIS). Once the ASIS is identified, the transducer is aligned with the pubic ramus and rotated at approximately 45 degrees, parallel to the inguinal crease. The transducer then slides medially along this axis until the anterior inferior iliac spine (AIIS), iliopubic eminence (IPE), and the psoas tendon is clearly identified, serving as anatomic landmarks. Sliding the probe distally or gently tilting the caudal will expose the head of the femur. Returning to the initial starting position, a standard 22 gauge spinal needle is inserted in-plane, from lateral to medial, in the plane between the psoas tendon and the pubic ramus. 20 ml 0.25% bupivacaine diluted with preservative free normal saline then deposited in this plane, lifting the psoas tendon. Care should be taken to avoid puncturing the psoas tendon.

PENG Group

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with hip fracture who will be subjected to surgical treatment
• ASA physical status 1, 2

You may not qualify if:

• Patients with chronic pain before surgery (taking opioids).
• Patients with multiple trauma
• Patients who could not assess pain reliably (dementia).
• Substance abuse and prolonged intake of sedative drugs.
• Morbid obese patients (BMI\>35).
• Patients who have open wounds or infection at the site of the block.

Sponsors & Collaborators

• Suez Canal University: lead

Study Sites (1)

Suez Canal University

Ismailia, Egypt

RECRUITING

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Anesthesia and Intensive Care

Study Record Dates

• First Submitted: November 13, 2023
• First Posted: November 22, 2023
• Study Start: June 1, 2023
• Primary Completion: January 1, 2024
• Study Completion: March 1, 2024
• Last Updated: November 22, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, CSR

Locations

EG (1)