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This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.
Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PENG block | This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia |
| |
| SIFI block | This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PENG Block | Other | PENG block for analgesic purposes performed before hip surgery |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS) | NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible | 30 minutes after the block is placed |
| Measure | Description | Time Frame |
|---|---|---|
| Sitting angle during positioning | Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia | 30 minutes after the block is placed |
| Postoperative pain with 10-point numeric rating scale (NRS) |
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Inclusion Criteria:
Exclusion Criteria:
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Participants will be recruited from a population of patients in a tertiary medical care center who are scheduled to undergo hip fracture surgery with spinal anesthetics and to whom either of the analgesic blocks PENG or SIFI compartment block is placed.
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| Name | Affiliation | Role |
|---|---|---|
| Onur OKUR | Prof. Dr. Cemil Taşcıoğlu City Hospital | Principal Investigator |
| Müslüm AKKILIC | Prof. Dr. Cemil Taşcıoğlu City Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prof. Dr. Cemil Taşcıoğlu City Hospital | Istanbul | 34384 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| SIFI compartment block |
| Other |
SIFI compartment block for analgesic purposes performed before hip surgery |
|
| Numeric Rating Scale | Diagnostic Test | Self-reported pain intensity score between 0-10 |
|
| Angle of sitting | Diagnostic Test | Measurement of sitting angle in degrees with a protractor |
|
NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible
| Postoperative day 1 |
| D007869 |
| Leg Injuries |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |