Post Operative Pain, Regional Block
Conditions
Keywords
PENG, lumber plexus, hip surgery
Brief summary
Regional anesthesia for postoperative analgesia in THA includes epidural anesthesia and peripheral nerve blocks. However epidural anesthesia has a great role in THA, it has become restricted as perioperative antithrombotic drugs are generally used for orthopedic patients. the study aim to evaluate and compare efficacy and safety of pericapsular nerve group block (PENG) block and lateral femoral cutaneous nerve versus Lumbar plexus block on postoperative analgesia in hip surgery.
Interventions
PROCEDUREpericapsular nerve group and lateral femoral cutaneous nerve block
Will undergo pericapsular nerve group block (PENG) combined with lateral femoral cutaneous nerve under ultrasound guided block with 20 mL of 0.25% bupivacaine.
PROCEDURElumbar plexus block
Will undergo Lumbar plexus block (LPB) under ultrasound guided block with 20 mL of 0.25 % bupivacaine.
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
(ASA) physical status I to III scheduled for hip surgery aged (30-70) years
Exclusion criteria
* Drug allergy, * Morbid obesity (BMI \>40 kg/m2), * Coagulopathy, * Psychiatric disorder, * Opioid dependence, * Patient refusal to give informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale pain scores | 24 hour | pain score from 0-10 which 0 mean no pain and 10 the worst pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| first analgesic request | 24 hour | time to demand nalbuphine |
| total analgesic consumption | 24 hour | total nalbuphine in mg consumed in the first day |
| First time to ambulate | 24 hours | first time to move |
Countries
Egypt
Contacts
Primary Contacthassan m. hetta, lecturer
Outcome results
None listed