Hip Fractures
Conditions
Keywords
Anesthesia, Lower extremity, pericapsular nerve group block, suprainguinal fascia compartment block
Brief summary
Ultrasound-guided Supra-inguinal Fascia Iliaca compartment Block (SIFCB) and Pericapsular Nerve Group Block (PENG) are increasingly being used for postoperative analgesia for hip surgery. The postoperative analgesic efficacy of SIFCB added to PENG block in elderly hip fracture patients will be evaluated. Postoperative opioid consumption and quality of recovery will also be evaluated.
Detailed description
The study was conducted as a retrospective cohort feasibility design within a tertiary hospital. Patient records and electronic data systems were used to gather the required data for analysis. Before surgery, a carefully selected cohort of patients who underwent PENG block and PENG block added SIFCB were included in the study.
Interventions
PROCEDUREPENG block
Patients underwent ultrasound-guided PENG Block for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.
PROCEDUREPENG block+ SIFCB
Patients underwent ultrasound-guided PENG Block+ SIFCB for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study.
Sponsors
Karaman Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* Physical status according to American Society of Anesthesiologists (ASA ) I-III
Exclusion criteria
* Previous operation on the same hip * Hepatic or renal insufficiency * Patients undergoing general anesthesia * Allergy or intolerance to one of the study medications * BMI \>40 * ASA IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | Postoperative 48th hour | If the patient's Numerical Rating Scale (NRS) score is equal to or above 4, tramadol 50 mg IV or oxycodone 5 mg orally every 4 hours will be administered as rescue analgesia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale (NRS) scores | Postoperative 48th hour | Range 0-10, 0=no pain, 10=the worse pain ever |
| Quality of Recovery 15 Score | Postoperative day 1 and 1 month | Quality of Recovery (QoR)-15 survey.Minimum value: 0, Maximum value: 150, higher scores mean better |
| Postoperative complications | 24 hours | Presence of postoperative nausea, vomiting, pruritus, urinary retention, respiratory depression |
| Mobilization time | 24 hours | Mobilization time |
Countries
Turkey (Türkiye)
Outcome results
None listed