Hip Fractures, Acute Post Operative Pain, Nerve Block, Spinal Anesthesia
Conditions
Brief summary
This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.
Detailed description
Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.
Interventions
OTHERPENG Block
PENG block for analgesic purposes performed before hip surgery
OTHERSIFI compartment block
SIFI compartment block for analgesic purposes performed before hip surgery
DIAGNOSTIC_TESTNumeric Rating Scale
Self-reported pain intensity score between 0-10
DIAGNOSTIC_TESTAngle of sitting
Measurement of sitting angle in degrees with a protractor
Sponsors
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults with a hip fracture * who were scheduled to undergo surgery with spinal anesthetics * has no neurologic disorders that impair cooperation (e.g dementia) * has no true allergies to local anesthetics * has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)
Exclusion criteria
* Childer under the age of 18 * patients scheduled to undergo surgery with general anesthetics * refusing to participate * allergies to local anesthetics * any neurologic disorder that impairs patient cooperation * any contraindication to regional or neuraxial anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS) | 30 minutes after the block is placed | NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sitting angle during positioning | 30 minutes after the block is placed | Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia |
| Postoperative pain with 10-point numeric rating scale (NRS) | Postoperative day 1 | NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible |
Countries
Turkey (Türkiye)
Outcome results
None listed