Pain, Acute
Conditions
Keywords
hip fracture, postoperative analgesia, positioning pain
Brief summary
The purpose of this study is to evaluate of analgesic effects of pericapsullar nerve group block which is performed preoperatively to assist positioning patients for performance of spinal anesthesia.
Interventions
PROCEDUREPENG Block
Pericapsular Nerve Group Block
DRUGConventional opioid analgesia (Fentanyl)
standardised intravenous opioid
Sponsors
Cigli Regional Training Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
Randomization of the study will be done by a doctor who will not participate in patient follow-up with closed envelopes using computer generated randomization codes.
Eligibility
Sex/Gender
ALL
Age
35 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* hip fracture * aged between 35 and 90 years old
Exclusion criteria
* contraindications for spinal anesthesia and PENG block * impaired cognition or dementia * multiple fractures * any previous analgesic administration during the last 12 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores on the Numeric Rating Scale (NRS) | Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) | Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of spinal anesthesia performance | Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) | It will be measured in minutes, from the start of positioning maneuvers to the spinal needle removal |
| Quality of patient's position | Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) | The position will be characterized as unsatisfactory, satisfactory, good or very good |
| Analgesic consumption | 24 hours | In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups. |
Countries
Turkey (Türkiye)
Outcome results
None listed