Nerve Block, Opioid Consumption, Pain, Acute, Pain, Postoperative
Conditions
Keywords
lateral femoral cutaneous nerve block, PENG block, Pain management, Opioid consumption
Brief summary
The incidence of femoral neck fracture in Europe is 330/10000 per year. It is increasing every year due to the aging of the population. In patients 55 years and older, hip fracture-related mortality is estimated to be between 4% and 16% at one month and between 11% and 43% at one year after surgery. The reduced risk of postoperative complications associated with the use of regional anesthesia, shorter mobilization times, and reduced morphine consumption in hip fractures have been reported, and have been incorporated into postoperative pain control as part of multimodal strategies. PENG has been described for postoperative pain control for surgery on the hip joint or for the treatment of post-traumatic pain associated with proximal femur/femoral head fractures. Lateral femoral cutaneous nerve block is used in combination with other peripheral block methods to provide analgesia in the lateral thigh. The investigators aimed to evaluate the effect of adding lateral femoral cutaneous nerve block to PENG block on pain scores and opioid consumption in femoral fracture procedures under spinal anesthesia.
Interventions
PROCEDUREPENG Block
To apply local anesthetic under psoas tendon
PROCEDURELFCN block
to apply local anesthetic around lateral femoral cutaneous nerve
Sponsors
Zonguldak Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* 18-75 years old, * ASA I-II-III risk group * patients undergoing hip fracture surgery under spinal anesthesia * Patients whose informed consent was read and consent was obtained from them and their representatives.
Exclusion criteria
* Those who do not want to participate in the study, * ASA IV-V patients * Those with coagulation disorders * Allergic to local anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative opioid consumption | up to 24 hour after surgery | total morphine requirement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain scores | up to 24 hour after surgery | evaluating pain scores by Numeric Rating Score |
| first analgesic time | up to 24 hour after surgery | the need of first analgesic after surgery |
| postoperative complications | up to 24 hour after surgery | nausea-vomitting, motor block, hypertension, hypotension etc. |
| mobilization time | up to 24 hour after surgery | when the patient is first mobilized |
Countries
Turkey (Türkiye)
Outcome results
None listed