Acute Pain Management, Hip Surgery
Conditions
Keywords
acute pain management, hip surgery, Deep posterior gluteal compartment block, Suprainguinal fascia iliaca plane block
Brief summary
The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.
Detailed description
Adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block applied before neuraxial anesthesia in hip fracture surgeries can reduce the pain sensation originating from the posterior region of the hip joint. Thus, participants can experience less pain in the perioperative period, consume less analgesics and reduce complications related to these in the postoperative period. In addition, possible complications can be prevented with early mobilization of the participants. It was aimed to compare the effects of adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block with only Suprainguinal Fascia Iliaca Block on these results.
Interventions
Deep Posterior Gluteal Compartment Block will be performed under USG guidance before neuraxial anesthesia.
OTHERSuprainguinal fascia iliaca compartment block
Suprainguinal fascia iliaca compartment block will be performed under USG guidance before neuraxial anesthesia.
Sponsors
Samsun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Volunteering to participate in the study * Patients between the ages of 18-90 * ASA I, II, III * Patients whose surgery duration does not exceed 2 hours * Patients who will undergo surgery under spinal anesthesia
Exclusion criteria
* Patients who do not want to participate in the study/do not give consent * Patients with a condition that prevents regional anesthesia * Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device) * History of hypersensitivity or allergy to local anesthetics * Patients with psychiatric disorders and those using psychiatric medications * Presence of hematological disease * Presence of oncological disease * Patients with serious major organ failure * Presence of multiple fractures * Patients with alcohol or drug addiction * Patients who have used analgesic drugs up to 12 hours before surgery * ASA IV-V patients * Morbidly obese patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | 24 hours | In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative pain intensity | 24 hours | Changes in the Numerical Rating Scale (NRS) will be recorded at rest and during movement. The participant's baseline NRS will be recorded, followed by measurements before and after neuraxial positioning and up to 24 hours post-surgery. The NRS is a unidimensional measure of pain intensity in adults. It is a segmented numerical version of the Visual Analog Scale (VAS) where the participant selects a whole number (0-10) that best represents the intensity of their pain. The 11-point numerical scale ranges from '0' representing one end of the pain spectrum (e.g. 'no pain') to '10' representing the other end (e.g. 'worst imaginable pain'). |
| Quality of recovery 15 scale | 24 hours after surgery | Postoperative Quality of Recovery 15 in Turkish scale |
| Quality of patient's position for neuraxial anesthesia | up to ten minutes | The position will be evaluated by anesthesiologist and characterized as unsatisfactory, satisfactory, good or very good |
| Quadriceps weakness | 24th hours | Quadriceps strength will be graded according to a 3-point scale: normal strength = 0 point (extension against resistance); paresis = 1 point (extension against gravity but not against resistance); and paralysis = 2 points (no extension). |
Countries
Turkey (Türkiye)
Outcome results
None listed