Hip fracture patients undergoing proximal femoral nail antirotation (PFNA) surgery under spinal anesthesia in Ramathibodi hospital PFNA, hip fracture
Conditions
Interventions
1. PENG block is first performed following the original description by Giron-Arango et al .
The US probe is placed in a transverse plane over the anterior inferior iliac spine (AIIS), and subsequently
PF (combined PENG block and FIB),PL (combined PENG and LFCN block),F (FIB alone)
Sponsors
Faculty of medicine, Ramathibodi hospital, Mahidol university
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Hip fractures undergo PFNA for primary fixation under SA., 2. American Society of Anesthesiologists (ASA) physical status I-IV, 3. Body weight > 40 kg
Exclusion criteria
Exclusion criteria: 1. Body mass index (BMI) < 18 or > 35 kg/m2, 2. Contraindications to perform SA and PNB (e.g., patient refusal, skin puncture site infection, bleeding tendency, coagulopathy), 3. Hypersensitivity to local anesthetics, 4. Comorbidity such as neurocognitive impairment, communication problems, hepatic or renal failure, neuromuscular disease of lower extremities, 5. Chronic pain with history of long-term opioid use or abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Static and dynamic pain score 24 hours postoperatively Numeric rating scale score | — |
Secondary
| Measure | Time frame |
|---|---|
| Spinal block positioning 30 minutes post-procedure Ease of spinal positioning (EOSP) score,Pain score during SA positioning 30 minutes post-procedure NRS,Opioid consumtion 24 hours postoperatively MME (morphine milligram equivalent),Static and dynamic pain score 0, 6, 12, 48 hours postoperatively Numeric rating scale score,Time to first rescue opioid request Post-procedure Period of time,Quadriceps strength 24 hours postoperatively Bromage score | — |
Countries
Thailand
Contacts
Public ContactTanat Chuepongpan
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed