Health Condition 1: M259- Joint disorder, unspecified
Conditions
Interventions
Intervention1: Peri Encapsular Nerve Block (PENG): Under ultrasound guidance, a PENG block will be performed using 20 mL of 0.2% Ropivacaine. The needle will be placed in the plane between the psoas t
Sponsors
United Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1.Diagnosed with unilateral hip fracture requiring surgery under spinal anesthesia 2.ASA Physical Status I–III 3.Ability to understand and consent to the procedure
Exclusion criteria
Exclusion criteria: 1.Local infection at the block site 2.Known allergy to local anesthetics 3.Coagulopathy or anticoagulant use contraindicating regional blocks 4.Altered sensorium or inability to comprehend NRS 5.Pre-existing neuropathies or chronic opioid use •Multiple fractures or polytrauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Pain score during positioning for spinal anesthesiaTimepoint: Numerical Rating Scale 0-10 before block, 15 min post block and at the time of positioning | — |
Secondary
| Measure | Time frame |
|---|---|
| •Time to optimal positioning •Change in pain scores •Block onset time •Ease of positioning •Hemodynamic changes •Complications Timepoint: 1.Time from end of block to readiness for spinal (defined by ability to sit or lateral position without assistance and minimal discomfort) 2.Change in pain scores at: oBefore block (Baseline) o15 minutes post-block oAt the time of spinal positioning 3.Time from block completion to first clinically observed pain relief 4.Ease of positioning: Graded by observer (1: Not possible, 2: With difficulty, 3: Comfortable) 5.HR and BP monitored at baseline, 5, 10, 15, and 30 minutes 6.Complications: Local anesthetic toxicity, vascular puncture, motor weakness, infection | — |
Countries
India
Contacts
Public ContactNeha Sharma
United Institute of Medical Sciences, Prayagraj
Outcome results
None listed