Does Adding Posterior Block to SFIB Increase the Quality of Analgesia in Hip Fractures?

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

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-24

Study Completion Date

2025-12-31

Brief Summary

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The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.

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Detailed Description

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Adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block applied before neuraxial anesthesia in hip fracture surgeries can reduce the pain sensation originating from the posterior region of the hip joint. Thus, participants can experience less pain in the perioperative period, consume less analgesics and reduce complications related to these in the postoperative period. In addition, possible complications can be prevented with early mobilization of the participants. It was aimed to compare the effects of adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block with only Suprainguinal Fascia Iliaca Block on these results.

Conditions

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Acute Pain Management Hip Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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Group SFICB

Suprainguinal fascia iliaca plane block will be performed 30 minutes before hip surgery

Group Type ACTIVE_COMPARATOR

Suprainguinal fascia iliaca compartment block

Intervention Type OTHER

Suprainguinal fascia iliaca compartment block will be performed under USG guidance before neuraxial anesthesia.

Group Combined

Suprainguinal Fascia İliaca plane Block will be performed 30 minutes before hip surgery and Deep Posterior Gluteal Compartment Block will be performed 20 minutes before hip surgery

Group Type ACTIVE_COMPARATOR

Deep Posterior Gluteal Compartment Block

Intervention Type OTHER

Deep Posterior Gluteal Compartment Block will be performed under USG guidance before neuraxial anesthesia.

Suprainguinal fascia iliaca compartment block

Intervention Type OTHER

Suprainguinal fascia iliaca compartment block will be performed under USG guidance before neuraxial anesthesia.

Interventions

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Deep Posterior Gluteal Compartment Block

Deep Posterior Gluteal Compartment Block will be performed under USG guidance before neuraxial anesthesia.

Intervention Type OTHER

Suprainguinal fascia iliaca compartment block

Suprainguinal fascia iliaca compartment block will be performed under USG guidance before neuraxial anesthesia.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Volunteering to participate in the study
* Patients between the ages of 18-90
* ASA I, II, III
* Patients whose surgery duration does not exceed 2 hours
* Patients who will undergo surgery under spinal anesthesia

Exclusion Criteria

* Patients who do not want to participate in the study/do not give consent
* Patients with a condition that prevents regional anesthesia
* Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device)
* History of hypersensitivity or allergy to local anesthetics
* Patients with psychiatric disorders and those using psychiatric medications
* Presence of hematological disease
* Presence of oncological disease
* Patients with serious major organ failure
* Presence of multiple fractures
* Patients with alcohol or drug addiction
* Patients who have used analgesic drugs up to 12 hours before surgery
* ASA IV-V patients
* Morbidly obese patients

Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No