Ignite Creation Date:
2024-05-06 @ 6:40 PM
Last Modification Date:
2024-10-26 @ 2:52 PM
Study NCT ID:
NCT05749367
Status:
NOT_YET_RECRUITING
Last Update Posted:
2023-03-01
First Post:
2023-02-08
Brief Title:
Lateral Cutaneous Nerve and PENG Blocks Versus Suprainguinal Fascia Iliaca Block in Post-op Analgesia of Hip Fractures
Sponsor:
Federal University of Minas Gerais
Organization:
Federal University of Minas Gerais
Study Overview
Official Title:
Lateral Femoral Cutaneous Nerve and Pericapsular Nerve Group PENG Blocks Versus Suprainguinal Fascia Iliaca Block in Postoperative Analgesia of Hip Fractures a Prospective Controlled Randomized and Double Blind Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2023-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Postoperative pain in hip fractures is challenging and requires adequate management Peripheral nerve blocks are already known as superior than systemic analgesia in this scenario but the best analgesic regional technique is still unknown The investigators propose a study to compare the postoperative analgesia of hip fractures between pericapsular nerve group block plus lateral femoral cutaneous nerve block and suprainguinal fascia iliaca block
Detailed Description:
Postoperative pain in hip fractures is challenging and requires adequate management In this scenario peripheral nerve blocks present superior results to systemic analgesia minimizing the use of opioids and their adverse effects The lumbar plexus is responsible for the nociception of the hip joint through the femoral obturator and accessory obturator nerves besides being responsible for the sensory innervation of the lateral aspect of the thigh through the lateral femoral cutaneous nerve Due to this intricate network several regional techniques have already been proposed However the best analgesic approach is still unknown Ultrasound-guided suprainguinal fascia iliaca block SIFIB which addresses the femoral and lateral femoral cutaneous nerves and ultrasound-guided pericapsular nerve group block PENG which addresses terminal branches of the femoral and accessory obturator nerves are techniques currently used successfully in the context of analgesia for hip surgery PENG block generates less motor impairment of the quadriceps which can be significant in terms of mobility and rehabilitation Both techniques show similar analgesic results in the still scarce literature but SIFIB has shown slight advantage in some scenarios However the PENG block does not reach the lateral cutaneous nerve which may lead to greater postoperative pain perception In an attempt to fill this knowledge gap the investigators propose a study to analyze whether the association between PENG block and lateral femoral cutaneous nerve block LFCNB promotes postoperative analgesia equal to SIFIB in a population of adults with hip fractures This will be a prospective controlled randomized double blind study Patients with hip fractures femoral neck transtrochanteric and subtrochanteric who will undergo surgical treatment hip arthroplasty and osteosynthesis with intramedullary nails or screws will be recruited and randomly allocated into two groups control C and experimental E In group C patients will undergo SIFIB with 30 ml of 05 ropivacaine and to maintain blinding they will also undergo PENG and LFCNB with 20 ml and 10 ml of saline respectively In group E patients will receive the PENG block associated with LFCNB with 20ml 10ml of 05 ropivacaine respectively and 30 ml of saline solution in the SIFIB After performing the blocks all patients will undergo spinal anesthesia with intrathecal injection of 10mg of 05 isobaric bupivacaine As a primary objective the investigators will evaluate dynamic pain passive elevation of the leg at 15 using the Numeric Rating Scale 0-10 6 hours 12 hours and 24 hours after spinal anesthesia
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None