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The purpose of this study is to evaluate of analgesic effects of pericapsullar nerve group block which is performed preoperatively to assist positioning patients for performance of spinal anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PENG Block | Active Comparator | For patients with hip fracture and having hip surgery this study evaluates the analgesic effects of Pericapsular Nerve Group (PENG) block for positioning before spinal anesthesia. |
|
| Control | Active Comparator | in this group, standardised opioid doses (drug: Fentanyl) will be used for analgesia for positioning pain |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PENG Block | Procedure | Pericapsular Nerve Group Block |
| |
| Conventional opioid analgesia (Fentanyl) |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores on the Numeric Rating Scale (NRS) | Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"). | Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of spinal anesthesia performance | It will be measured in "minutes", from the start of positioning maneuvers to the spinal needle removal | Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) |
| Quality of patient's position |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hakan Aygun, MD | Cigli RTH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hakan Aygün | Izmir | 35575 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25068412 | Result | Diakomi M, Papaioannou M, Mela A, Kouskouni E, Makris A. Preoperative fascia iliaca compartment block for positioning patients with hip fractures for central nervous blockade: a randomized trial. Reg Anesth Pain Med. 2014 Sep-Oct;39(5):394-8. doi: 10.1097/AAP.0000000000000133. | |
| 37715173 | Derived | Aygun H, Tulgar S, Yigit Y, Tasdemir A, Kurt C, Genc C, Bilgin S, Senoglu N, Koksal E. Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial. BMC Anesthesiol. 2023 Sep 15;23(1):316. doi: 10.1186/s12871-023-02245-3. |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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Randomization of the study will be done by a doctor who will not participate in patient follow-up with closed envelopes using computer generated randomization codes.
| Drug |
standardised intravenous opioid |
|
The position will be characterized as "unsatisfactory", "satisfactory", "good" or "very good" |
| Group A: 5 minutes after intervention (intravenous opioid), Group B: 20 minutes after intervention (PENG block) |
| Analgesic consumption | In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups. | 24 hours |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |