Hip Fractures, Pain, Postoperative, Coagulopathy, Comorbidities and Coexisting Conditions
Conditions
Brief summary
The aim of the study is to demonstrate the efficacy of PENG block as the main anesthetic technique to manage perioperative analgesia for hip fracture surgery compared to femoral and obturator nerve block in patients with contraindications to spinal anesthesia.
Interventions
PROCEDUREPENG BLOCK
Preoperative ultrasound guided PENG block (ropivacaine 0.5 % 20 mL)
PROCEDUREFemoral Nerve Block
Preoperative ultrasound guided femoral nerve block (ropivacaine 0.5 % 15 mL)
PROCEDUREObturator Nerve Block
Preoperative ultrasound guided obturator nerve block (ropivacaine 0.5 % 5 mL)
Sponsors
Campus Bio-Medico University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients undergo hip surgery * patients with contraindications at spinal anesthesia
Exclusion criteria
* allergy at local anesthetic * age under 18 or weight under 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain following regional anesthesia | 30 minutes | Preoperative pain score following regional anesthesia execution expressed by numerical rating scale 0-10 |
| Postoperative pain | 24 hours | Postoperative pain score expressed by a numerical rating scale 0-10 |
| preoperative pain | 30 minutes | Preoperative pain score expressed by numerical rating scale 0-10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Morphine milligrams (mg) consumption | 24 hours | needed opioid rescue therapy |
Countries
Italy
Outcome results
None listed