PENG and LFCN Block Versus FIC Block for Multimodal Analgesia After Total Hip Replacement Surgery: a Retrospective Analysis

NCT ID: NCT05916209

Last Updated: 2023-06-23

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

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-01

Study Completion Date

2023-03-01

Brief Summary

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Background: Optimal pain control with limited muscle weakness is paramount for a swift initiation of physical therapy and ambulation. Fascia iliaca compartment block (FICB) has been recommended since it offers the best pain control with low risk of motor block. Pericapsular nerve group block (PENG) with lateral femoral cutaneous nerve (LFCN) block has been proposed as an effective alternative to FICB that offers similar pain control with a considerably lower risk of motor block. This study aimed to compare the afore mentioned blocks and determine which one yielded the lowest NRS score.

Detailed Description

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This single-center, retrospective investigation was conducted at ASST Nord Milano Bassini hospital. The study was approved by the ethics committee "Comitato Etico Milano Area 3". The main outcome of the study was the comparison of postoperative pain at 6, 12 and 24 hours, expressed as NRS (numeric rating scale), between PENG and LCFN . Secondary outcomes included total opioid consumption expressed as milligrams of morphine equivalents (MME), time to first opioid request, time to first postoperative ambulation.

Conditions

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Regional Anesthesia Morbidity Arthropathy of Hip Hip Arthropathy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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PENG + LFCN Block

group in which PENG + LFCN Block was performed

Peripheral nerve blocks

Intervention Type PROCEDURE

Peripheral nerve blocks provide intense, site-specific analgesia administring local anesthetics near the nerves.

FIC Block

group in which FIC Block was performed

Peripheral nerve blocks

Intervention Type PROCEDURE

Peripheral nerve blocks provide intense, site-specific analgesia administring local anesthetics near the nerves.

Interventions

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Peripheral nerve blocks

Peripheral nerve blocks provide intense, site-specific analgesia administring local anesthetics near the nerves.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* elective total hip replacement surgery for non-traumatic hip disease, age \>18 years, complete clinical chart included the type of peripheral nerve block performed, signed consent form for spinal anesthesia and peripheral nerve block.

Exclusion Criteria

* incomplete chart, a peripheral nerve block other than PENG or FIC block was performed
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale Edoardo Bassini

OTHER

Sponsor Role lead

Responsible Party

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Francesco Vetrone

Medical Doctor - Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ospedale Edoardo Bassini

Cinisello Balsamo, Milano, Italy

Site Status

Countries

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Italy

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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044.677

Identifier Type: -

Identifier Source: org_study_id

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