Pericapsular Nerve Group Block (PENG Block), Lumbar Erector Spinae Plane Block
Conditions
Keywords
Lumbar Erector Spinae Plane Block, Pericapsular Nerve Group Block (PENG Block)
Brief summary
assess and compare the efficacy of pericapsular nerve group block wersus lumber erector spinae plane block in reducing postoperative pain within the first 24 hours after hip surgeries.
Detailed description
after being informed about the study and potential risks. All patients giving written consent will be randomized by double blind manner into 3groups each one containing 23 patients ,PENG group (n =23 ): The patients will receive Pericapsular Nerve Group Block (PENG Block) before positioning for spinal anesthesia. ESPS group E (n =23 ): The patients will receive Lumbar Erector Spinae Plane Block before positioning for spinal anesthesia. Control group C(n =23 ): patients received spinal anesthesia without any block.
Interventions
PROCEDUREPericapsular Nerve Block
regional anaesthia
PROCEDURELumbar Erector Spinae Plane Block
regional anaesthia
DRUGFentanyl
intavenous
Sponsors
Zagazig University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Masking description
douple
Eligibility
Sex/Gender
ALL
Age
65 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Aged 65 to 75 years old. American Society of anesthesiologists physical status II and III. Body mass index of 25 to 30 kg/m2.
Exclusion criteria
Altered mental status. History of trauma or multiple fractures Uncontrolled hypertension and or diabetes. Coagulopathy. Preexisting advanced kidney, liver, or heart disease. Allergies or contraindications to the study drugs. Chronic use of opioids or corticosteroids.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the time to first postoperative rescue analgesia | 24 hours postoperative | the time to ask for the first postoperative analgesia (morphine) when the patient is reporting NRS ≥ 3 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| onset of sensory block | after the block | the time between the end of the injection of local anesthetic (bupivacaine) and the loss of pin prick sensation using a sterile 25G needle in the operating field. |
| pain intensity | 30 minutes after the end of surgery ,3,6,12 hours postoperative. | using an 11point numeric rating scale (NRS)(11) : 0: no pain,10=worst imaginable pain) 1-3Mild Pain (nagging, annoying, interfering little with activities of daily living (ADLs). 4-6Moderate Pain (interferes significantly with activities of daily living(ADLs) 7-10Severe Pain (disabling; unable to perform ADLs) at rest and during movement (during45-degree passive flexion of the hip with the ipsilateral knee flexed) |
| Block performance time (min) | immediately before surgery | time from placement of ultrasound probe on the patient's skin to the end of local anesthetic injection |
| adverse effects | 24 hours postoperative | nausea, vomiting ,hypotension ,bradycardia and hematoma |
| Patient satisfaction | 24 hours postoperative | related to block performance, post-operative pain relief was evaluated by an 11- point satisfaction score (0=unsatisfied and 10 = most satisfied), and the score was divided as follows 0-3 (not satisfied), 4-6 (partly satisfied), and 7-10 (highly satisfied). |
| The total dose of rescue analgesia | 24 hours postoperative | The total dose of rescue analgesia |
Countries
Egypt
Outcome results
None listed