PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

52 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-20

Study Completion Date

2023-01-20

Brief Summary

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This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

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Detailed Description

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Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

Conditions

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Hip Fractures Acute Post Operative Pain Nerve Block Spinal Anesthesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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PENG block

This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia

PENG Block

Intervention Type OTHER

PENG block for analgesic purposes performed before hip surgery

Numeric Rating Scale

Intervention Type DIAGNOSTIC_TEST

Self-reported pain intensity score between 0-10

Angle of sitting

Intervention Type DIAGNOSTIC_TEST

Measurement of sitting angle in degrees with a protractor

SIFI block

This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia

SIFI compartment block

Intervention Type OTHER

SIFI compartment block for analgesic purposes performed before hip surgery

Numeric Rating Scale

Intervention Type DIAGNOSTIC_TEST

Self-reported pain intensity score between 0-10

Angle of sitting

Intervention Type DIAGNOSTIC_TEST

Measurement of sitting angle in degrees with a protractor

Interventions

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PENG Block

PENG block for analgesic purposes performed before hip surgery

Intervention Type OTHER

SIFI compartment block

SIFI compartment block for analgesic purposes performed before hip surgery

Intervention Type OTHER

Numeric Rating Scale

Self-reported pain intensity score between 0-10

Intervention Type DIAGNOSTIC_TEST

Angle of sitting

Measurement of sitting angle in degrees with a protractor

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adults with a hip fracture
* who were scheduled to undergo surgery with spinal anesthetics
* has no neurologic disorders that impair cooperation (e.g dementia)
* has no true allergies to local anesthetics
* has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

Exclusion Criteria

* Childer under the age of 18
* patients scheduled to undergo surgery with general anesthetics
* refusing to participate
* allergies to local anesthetics
* any neurologic disorder that impairs patient cooperation
* any contraindication to regional or neuraxial anesthetics

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No