Spinal Anesthesia, Analgesia, Hip Fractures
Conditions
Brief summary
The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia
Detailed description
Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.
Interventions
OTHERfemoral nerve block
Patients will be performed a femoral nerve block using bupivacaine thirty minutes before the performing of spinal block.
Patients will be performed a peri-capsular nerve group block using bupivacaine thirty minutes before the performing of spinal block.
Sponsors
Antalya Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* patients with hip fracture scheduled for surgery under spinal anesthesia.
Exclusion criteria
* hemorrhagic diathesis, * peripheral neuropathy, * allergy to local anesthetics, * mental disorders, * use of analgesics for 8 h before the performance of spinal block
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia | 30 minutes | Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of pain scores at rest | 30 min | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance. |
| Rate of pain scores on passive limb lifting | 30 min | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance. |
| rate of postoperative pain scores | 24 hours | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively. |
| Amount of postoperative analgesic consumption | 24 hours | Postoperative analgesic consumption will be recorded for postoperative 24 hours |
Countries
Turkey (Türkiye)
Outcome results
None listed