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The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia
Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Femoral nerve block group | Other | Thirty minutes before the placement of spinal block, patients will be receive a femoral nerve block with Bupivacaine. |
|
| Peri-capsular nerve group block group | Other | Thirty minutes before the placement of spinal block, patients will be receive a peri-capsular nerve group block with Bupivacaine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| femoral nerve block | Other | Patients will be performed a femoral nerve block using bupivacaine thirty minutes before the performing of spinal block. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia | Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain). | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of pain scores at rest | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance. | 30 min |
| Rate of pain scores on passive limb lifting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Safa Eroglu, M.D. | Antalya Traning and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Antalya Training and Research Hospital | Antalya | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| peri-capsular nerve group block | Other | Patients will be performed a peri-capsular nerve group block using bupivacaine thirty minutes before the performing of spinal block. |
|
Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance. |
| 30 min |
| rate of postoperative pain scores | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively. | 24 hours |
| Amount of postoperative analgesic consumption | Postoperative analgesic consumption will be recorded for postoperative 24 hours | 24 hours |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |