Congenital Hip Dysplasia
Conditions
Brief summary
Developmental dysplasia of the hip (DDH) is one of the major disorder of the pediatric population with an incidence of 3 to 5 per 1000 children. Open surgical reduction of congenital hip dislocation (CHD) is typically performed after an ineffective closed reduction or older than 18 months. Multiple femoral or pelvic osteotomies and tenotomies are performed during this surgical treatment and cause severe postoperative pain. Pericapsular nerve group (PENG) block has been recently recommended for use as postoperative analgesia in hip surgeries. It is a new regional anesthesia method based on blocking the articular branches of femoral nerve (FN) and accessory obturator nerve (AON) in the region between the anterior inferior iliac spine (AIIS) and iliopubic eminence (IPE).The aim of this study was to evaluate the analgesic effect of ultrasound guided pediatric pericapsular nerve group (PENG) block in pediatric patients undergoing CHD surgery.
Interventions
DRUGSaline Solution
0.5 ml/kg saline
DRUGBupivacaine
0.5 ml/kg %0.25 bupivacaine
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
1 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
-American Society of Anesthesiologist's physiologic state I-II patients undergoing hip dislocation surgery
Exclusion criteria
* chronic pain * bleeding disorders * renal or hepatic insufficiency * patients on chronic non-steroidal anti-inflammatory medications * emergency cases * Incomplete patient forms * infection of the skin at the site of needle puncture area * patients with known allergies to any of the study drugs * American Society of Anesthesiologist's III-IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Face, Legs, Activity, Cry and Consolability Score (FLACC) | Postoperative first 24hour | FLACC scale will be used. The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Need for rescue analgesic | 2 hour | Number of patients who required rescue analgesia in postoperative care unit in the first 2 hour |
| Need for analgesic | 24 hour | Number of patients who required analgesic in the first 24 hour |
Countries
Turkey (Türkiye)
Outcome results
None listed