Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: I. ASA I-II II. Age range from 18-80 years III. Patients undergoing elective, unilateral total hip arthroplasty under spinal anaesthesia. IV. Patients with HbA1C level less than 7% and FBS less than 140mg/dl.
Exclusion criteria
Exclusion criteria: i Patient does not consent to the study. ii Patient inability to communicate / operate PCA pump. iii Contraindication to regional anesthetic procedure e.g local infection in the administration site, coagulopathy, raised intra cranial pressure or a history of PDPH. iv Allergy to drugs used in the study. v Liver failure or renal insufficiency. vi Analgesic dependence. vii Cognitive impairment. viii Patients with HbA1C level more than 7% and FBS more than 140mg/dl. ix Patients with history of surgery in the relevant anatomical regions that could affect spread of local anaesthetic following FRONT, PPD and PENG block applications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the perioperative opioid consumption between combined PENG block with PPD block versus combined FRONT block with PPD block for hip arthroplasty in the first 24 hours.Timepoint: 0-24 hrs postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the time to first rescue analgesia requirement in the post-operative period between the two groups.Timepoint: 0-24 hrs postoperatively;To compare the incidence of intraoperative hemodynamic changes between the two groups.Timepoint: Intraoperatively;To compare the time to first mobilization in the post operative period between the two groupsTimepoint: 0-24 hrs postoperatively;To compare the NRS score at rest and on movement.Timepoint: 0,2hrs,4hrs,6hrs,12hrs and 24hrs postoperatively;To compare the incidence of PONVTimepoint: 0,2hrs,4hrs,6hrs,12hrs and 24hrs postoperatively | — |
Countries
India
Contacts
AIIMS New Delhi