Health Condition 1: S720- Fracture of head and neck of femur
Conditions
Interventions
Intervention1: Pericapsular nerve group block: Regional anaesthesia for post operative pain management
Control Intervention1: Local infiltration analgesia: Type of local anaesthesia for post operative
Sponsors
Dayanand medical college and hospital Ludhiana
Eligibility
Inclusion criteria
Inclusion criteria: ASA I,II,III electively posted for hip hemiarthroplasty
Exclusion criteria
Exclusion criteria: Patient refusal Known allergy to local anaesthetic Contraindication to neuraxial blockade or peripheral nerve blocks Chronic opioid use Infection at site of block Epidural requirement BMI more than 35 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be comparison of the total rescue analgesic consumption within 24 hours after hip surgery in patients given local infiltration analgesia or pericapsular nerve group (PENG) block in hip surgeries.Timepoint: After completion of the procedure, the patients will be shifted to post anaesthesia care unit (PACU) where postoperative vitals (HR, SBP, DBP, SpO2) along with VAS score at rest and sensory level of blockade will be monitored hourly for the first 4 hours, 2 hourly for the next 4 hours and then every 4 hourly till 24 hours post operatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first rescue analgesic as observed in either of the groups in the post operative period. Injection tramadol 50-100 mg I/V will be used as rescue analgesic whenever VAS more than 4 to a maximum of 400 mg within 24 hours following which if VAS is still more than 4 then another rescue analgesic, injection fentanyl 1mcg/kg IV as a slow bolus shall be administered to the patient. 2). Visual Analog Score (VAS) scale at the time, when the patient in either of the groups required rescue analgesic for pain relief. Postoperative pain will be measured using VAS pain scores within 24 hours in both the groups, where the score will be determined by asking the patient to rate the pain from 0-10 where a VAS score of 0 will indicate no pain to VAS score of 10 indicating worst pain . 3). Overall patient satisfaction for pain management within 24 hours in both the groups through a 5-point Likert scale. Timepoint: After completion of the procedure, the patients will be shifted to post anaesthesia care unit (PACU) where postoperative vitals (HR, SBP, DBP, SpO2) along with VAS score at rest and sensory level of blockade will be monitored hourly for the first 4 hours, 2 hourly for the next 4 hours and then every 4 hourly till 24 hours post operatively | — |
Countries
India
Contacts
Public ContactDr Khushpreet kaur
Dayanand medical college and hospital ludhiana
Outcome results
None listed