Quality of Recovery After Hip Fracture Surgery: US-guided PENG Block Versus FICB
NCT ID: NCT05968014
Last Updated: 2024-03-05
Study Results
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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COMPLETED
NA
80 participants
INTERVENTIONAL
2022-02-01
2022-07-31
Brief Summary
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Detailed Description
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For the FICB, a linear ultrasound probe was placed in the transverse plane and start scanning at the level of the inguinal crease to identify the femoral artery medially and the femoral nerve lateral to the femoral artery. The iliopsoas muscle should be seen overlying fascia iliaca. The block should be performed proximal to the arterial bifurcation. A 50 mm needle was introduced using an in-plane approach to penetrate the fascia iliaca. The hydro dissection separate the fascia iliaca from the iliac muscle, and a total volume of 20 ml of 0.2% ropivacaine was injected in this created space.
The PENG bloc is performed with a low frequency curvilinear ultrasound probe, which was initially placed in a transverse plane over the antero inferior iliac spine and the aligned with the pubic ramus by rotating the probe counterclockwise approximately 45 degrees. In this view, it is possible to observe the iliopubic eminence, the iliopsoas muscle tendon, the femoral artery and the pectineus muscle. A 100 mm needle was inserted from lateral to medial in an in-plane approach to place the tip in the musculofascial plane between the psoas tendon anteriorly and the pubic ramus posteriorly. Negative aspiration should be observed before injection of local anaesthetic and a total volume of 20 ml of 0.2% ropivacaine was injected.
Spinal anesthesia was performed after 20 minutes.
QoR-15 score was assessed before the intervention and 24 hours postoperatively.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
SINGLE
Study Groups
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PENG block
Participants enrolled in this group received a pericapsular nerve group block with 20 ml of 0.2% ropivacaine. The block was performed with a 100 mm needle, inserted with an in-plane lateral to medial approach. Operator used a low frequency curvilinear probe.
PENG vs FICB
pericapsular nerve group block versus fascia iliaca compartment block
FIC block
Patients allocated in this group received a fascia iliaca compartment block with 20 mL of 0.2% ropivacaine, using a 50 mm needle inserted with an in-plane approach. Operator used a linear probe.
PENG vs FICB
pericapsular nerve group block versus fascia iliaca compartment block
Interventions
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PENG vs FICB
pericapsular nerve group block versus fascia iliaca compartment block
Eligibility Criteria
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Inclusion Criteria
* patients with an american society of anesthesiologists physical status I to III
* patients undergoing hip fracture surgical repair
Exclusion Criteria
* inability or refusal to sign informed consent
* contraindications for regional nerve block or spinal anesthesia
* impaired cognition or dementia
65 Years
ALL
No
Sponsors
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University Tunis El Manar
OTHER
Responsible Party
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Chaima Debabi
Principal Investigator
Principal Investigators
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Chaima Debabi
Role: PRINCIPAL_INVESTIGATOR
University Tunis El Manar
Locations
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Nabeul hospital, Mohamed Taher Maamouri
Nabeul, Mrezga, Tunisia
Countries
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Other Identifiers
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Chaima Debabi
Identifier Type: -
Identifier Source: org_study_id
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