Hip Fractures
Conditions
Brief summary
Fractures in and around the hip are quite common irrespective of both the young and elderly population groups and are associated with extreme pain. A hip fracture is a serious injury, with complications that can be life-threatening and is a common orthopedic emergency in the elderly. Early surgery within 48 h of fracture has shown to decrease the complication and mortality rates.
Interventions
Pericapsular Nerve Group (PENG) Block: 20 mL of 0.25% bupivacaine will be injected in increments while observing for an adequate fluid spread in this plane. Fascia Iliaca Compartment (FIC) Block: 20 mL of 0.25% bupivacaine will be injected until it spreads. laterally toward the iliac spine and medially toward the femoral nerve.
Sponsors
Study design
Eligibility
Inclusion criteria
* Forty -Two patients above 18 years of age belonging to the American Society of Anaesthesiologists (ASA) physical status Classes I and II scheduled for hip surgery will randomly be allocated into two groups. Group A (PENG block) will receive US - guided PENG block and Group B (FIC block) will receive US - guided FIC block for postoperative pain relief.
Exclusion criteria
* Patient refusal. * Patient with significant neurological, psychiatric or neuromuscular disease. * Alcoholism. * Drug abuse. * Pregnancy or lactating women. * Suspected Coagulopathy. * Morbid obesity. * Known allergy to study medications. * Septicemia and local infection at the block site.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison between duration of analgesia of Pericapsular Nerve Group (PENG) Block vs Fascia Iliaca Compartment (FIC) Block. | 6 months | Comparison between duration of analgesia of Pericapsular Nerve Group (PENG) Block vs Fascia Iliaca Compartment (FIC) Block. |
Countries
Egypt