Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block

NCT ID: NCT07295184

Last Updated: 2025-12-29

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

NOT_YET_RECRUITING

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-25

Study Completion Date

2026-12-25

Brief Summary

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Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.

The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.

Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.

Detailed Description

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Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.

The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.

Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.

In recent years, the Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block have gained attention as regional anesthesia techniques that provide effective analgesia by targeting the nerve branches innervating the anterior capsule of the hip joint.

Conditions

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Rebound Pain Impact After Hip Surgery With Nerve Block

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Interventions

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Peripheral nerve block applied

Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block applied

Intervention Type OTHER

Only multimodal analgesia applied

Postoperative analgesia (paracetamol 1000 mg intravenously every 8 hours and celecoxib 200 mg orally every 12 hours)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18-80
* ASA I-III risk groups
* Undergoing elective hip surgery

Exclusion Criteria

* Preoperative history of delirium, dementia, or major neurological disease
* Present cognitive impairment or severe hearing or visual impairment that could affect pain assessment
* Development of mechanical ventilation requirement in the intensive care unit; Need for bilateral hip surgery
* Failure to provide meaningful analgesia after block application due to surgical pain outside the scope of the block
* Patient's inability to complete the pain diary during postoperative follow-up;
* Urgent hip surgery
* Voluntary failure to give consent or request to withdraw from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Konya City Hospital

OTHER

Sponsor Role lead

Responsible Party

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HASAN ŞENAY

Specialist, Department of Intensive Care Unit, Konya City Hospital, M.D

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Hasan SENAY, M.D.

Role: CONTACT

Phone: 05055078822

Email: [email protected]

Other Identifiers

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Rebound pain

Identifier Type: -

Identifier Source: org_study_id