Acute pain
Conditions
Interventions
This is a two-arm, double-blind, randomized controlled clinical trial. Research location: Surgical Center of the Getúlio Vargas State Hospital.Population sample: As this is a pilot study, the sample s
group 2: 30
group 3: 30. Total: 90 participants.The research participants, candidates for fracture surgeries of the proximal end of the femur (osteosynthesis), after applying the inclusion and exclusion criteria,
Group 2: Bcfis
Group 3: Bncfl + Peng.The research participants in group 1 will receive Bcfis with 30 mL of saline solution, in addition to Bncfl and Peng block, with 20 ml and 10 ml of saline solution guided by USG
Sponsors
Secretaria Estadual de Saúde - RJ
Secretaria Estadual de Saúde - RJ
Comitê de Ética em Pesquisa
Eligibility
Age
19 Years to No maximum
Inclusion criteria
Inclusion criteria: Participants over 18 years of age; of both sexes; undergoing surgery to correct a fracture of the proximal end of the femur
Exclusion criteria
Exclusion criteria: Allergy or intolerance to any of the drugs used in the study; liver failure; estimated glomerular filtration rate < 15 mL/min/1.73 m2; known or suspected coagulopathy; pre-existing neurological or anatomical deficits in the lower extremities; cognitive impairment with difficulties in assessing pain and severe psychiatric illness; chemical dependency; history of mental illness; hemoglobin less than 9 mg/dl; conversion of spinal anesthesia to general anesthesia; blood transfusion; duration of surgery longer than 3 hours; change of surgical plan or orthopedic complication during surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate whether the association between BNCFL and PENG block promotes postoperative analgesia to movement equivalent to or superior to SIFIB and MORFIT, in fractures of the proximal end of the femur. For this, pain on movement will be measured at 6, 12 and 24, 30, 36, 42 and 48 hours after the procedure.The group (BNCFL and PENG block) is expected to present analgesic quality superior to or equivalent to that of the SFIB and MORFIT groups (the latter considered the standard), but with a lower incidence of impairment of motor function and other adverse effects. | — |
Secondary
| Measure | Time frame |
|---|---|
| Measure pain at rest, assess quadriceps motor function using dynamometry and strength index, compare the total dose of opioids consumed in 24 hours and the incidence of their side effects. ;The time of the first request for these will also be recorded, as well as the incidence of complications from the blocks, postoperative delirium and length of hospital stay. | — |
Countries
Brazil
Contacts
Public ContactComitê de Ética em Pesquisa
Faculdade de Medicina da Universidade Federal Fluminense - FMUFF
Outcome results
None listed