Hip Fractures, Post Operative Pain
Conditions
Brief summary
The aim of this work is to compare the effectiveness of bupivacaine- dexmedetomidine mixture versus bupivacaine-dexamethasone mixture in PENG Block as Post-operative Analgesia in Hip surgeries
Interventions
The PENG block will be performed ,the patient is placed in the supine position , the procedural leg is slightly abducted, the curvilinear low-frequency ultrasound probe will be placed over the line parallel to the inguinal ligament. It will subsequently rotated 45◦ to identify the anterior inferior iliac spine, the iliopubic eminence, and the psoas tendon. A 22-gauge, 80 mm echogenic needle will inserted in an in-plane approach to place the tip in the musculofascial plane between the pubic ramus posteriorly and the psoas tendon anteriorly. Following negative aspiration, by one of the two syringes each one has a serial number corresponding to each group.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-65 years. 2. Sex: Both sexes. 3. American Society of Anaesthesiologists (ASA) Physical Status Class I and II. 4. Scheduled for hip surgeries under spinal anaesthesia.
Exclusion criteria
1. Declining to give written informed consent. 2. History of allergy to the medications used in the study. 3. Contraindications to regional anesthesia (including patient refusal, coagulopathy and local infection). 4. Psychiatric disorder. 5. American Society of Anesthesiologists (ASA) Physical Status Class III and IV.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The time to the first request of analgesia | 9 months | The time interval between the onset of the local infiltration done at the end of the operation and the first request to postoperative analgesia. |
Secondary
| Measure | Time frame |
|---|---|
| Total doses of analgesia (Nalbuphine) given to patients in 24 hours postoperatively | 9 months |
| Occurrence of side effects of drugs. | 9 months |
Countries
Egypt