Ignite Creation Date:
2024-05-06 @ 7:32 PM
Last Modification Date:
2024-10-26 @ 3:08 PM
Study NCT ID:
NCT06040879
Status:
COMPLETED
Last Update Posted:
2023-09-18
First Post:
2023-09-07
Brief Title:
PENG Block and Lateral Femoral Cutaneous Nerve Block For Hip Replacement Surgery
Sponsor:
Hanoi Medical University
Organization:
Hanoi Medical University
Study Overview
Official Title:
Postoperative Analgesia Outcomes Of Pericapsular Nerve Group Block PENG Block Combined With Lateral Femoral Cutaneous Nerve Block After Hip Replacement Surgery A Randomized Controlled Study
Status:
COMPLETED
Status Verified Date:
2023-09
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:
Background this study aimed to describe the pain relief outcomes after hip replacement surgery by continuous Pericapsular Nerve Group Block PENG Block in combination with lateral femoral cutaneous nerve LFCN block under the guidance of ultrasound
Methods patients who had hip surgery at E University hospital Hanoi Vietnam from August 2021 to August 2022 belonged to two groups group of patients with pain relief with PENG block in combination with LFCN block PENG BLOCK group and group of patients with patient-controlled intravenous analgesia PCA group Outcomes regarding clinical and pain score from initiation of insertion or PCA insertion H0 to after 72 hours H72 were recorded
Methods patients who had hip surgery at E University hospital Hanoi Vietnam from August 2021 to August 2022 belonged to two groups group of patients with pain relief with PENG block in combination with LFCN block PENG BLOCK group and group of patients with patient-controlled intravenous analgesia PCA group Outcomes regarding clinical and pain score from initiation of insertion or PCA insertion H0 to after 72 hours H72 were recorded
Detailed Description:
First patients were explained about the study and asked to sign written informed consent if they agreed to participate in the study Next the patient was instructed to use the visual analogue scale VAS for pain score as well as how to press the button to request pain relief Then a monitor was installed and operated to assess the clinical parameters electrocardiogram blood pressure SpO2 arterial blood pressure temperature The patient was oxygenated 3-5 litersminute and performed a peripheral intravenous line with an 18G catheter infused with 09 NaCl solution Spinal anesthesia was administered with ropivacaine 05 and fentanyl
During and after the surgery a group of patients received intravenous morphine analgesia via PCA concentration 1mgml bolus dose of 1mg lock time 10 minutes maximum dose 10mg4 hours The remaining group of patients receive pain relief by PENG block and LFCN block In this group the ultrasound probe was placed horizontally from the anterior superior iliac spine and was moved along the femoral arc defining the pubic spine Then the transducer was rotated 45 degrees moved parallel to the femoral arch identifying the anterior inferior iliac spine AIIS iliopubic eminence IPE and inferior lumbosacral head The ultrasound probe was moved lightly until the upper end of the femoral head was identified Next a 120 mm Tuohy 18G anesthetic needle was used under ultrasound guidance which was moved lateral to medial in the plane between the ultrasound transducer and the superior tip of the femoral head Then 10 mL of ropivacaine 025 was injected through the anesthetic needle tip
Data were collected at different times including before surgery before anesthesia during surgery and after surgery The information was recorded in the medical record
Preoperative data the collected information included the general characteristics of the study patients including age gender weight height history of smokingmotion sickness diagnosis health classification according to ASA liver and kidney function tests With pre-anesthesia data information was collected including pulse blood pressure respiratory rate SpO2
Intraoperative data the information collected includes information about anesthesia and surgical procedure
Post-operative data the collected information includes blood test results urea creatinine liver enzymes pain score Visual analogue scale - VAS - scale from 0 to 10 the higher the score the higher the pain level more analgesic drugs consumption status respiratory and circulatory changes adverse events and analgesic satisfaction Time was recorded from initiation of catheterization or PCA insertion H0 to after 72 hours H72
During and after the surgery a group of patients received intravenous morphine analgesia via PCA concentration 1mgml bolus dose of 1mg lock time 10 minutes maximum dose 10mg4 hours The remaining group of patients receive pain relief by PENG block and LFCN block In this group the ultrasound probe was placed horizontally from the anterior superior iliac spine and was moved along the femoral arc defining the pubic spine Then the transducer was rotated 45 degrees moved parallel to the femoral arch identifying the anterior inferior iliac spine AIIS iliopubic eminence IPE and inferior lumbosacral head The ultrasound probe was moved lightly until the upper end of the femoral head was identified Next a 120 mm Tuohy 18G anesthetic needle was used under ultrasound guidance which was moved lateral to medial in the plane between the ultrasound transducer and the superior tip of the femoral head Then 10 mL of ropivacaine 025 was injected through the anesthetic needle tip
Data were collected at different times including before surgery before anesthesia during surgery and after surgery The information was recorded in the medical record
Preoperative data the collected information included the general characteristics of the study patients including age gender weight height history of smokingmotion sickness diagnosis health classification according to ASA liver and kidney function tests With pre-anesthesia data information was collected including pulse blood pressure respiratory rate SpO2
Intraoperative data the information collected includes information about anesthesia and surgical procedure
Post-operative data the collected information includes blood test results urea creatinine liver enzymes pain score Visual analogue scale - VAS - scale from 0 to 10 the higher the score the higher the pain level more analgesic drugs consumption status respiratory and circulatory changes adverse events and analgesic satisfaction Time was recorded from initiation of catheterization or PCA insertion H0 to after 72 hours H72
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