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Regional anesthesia for postoperative analgesia in THA includes epidural anesthesia and peripheral nerve blocks. However epidural anesthesia has a great role in THA, it has become restricted as perioperative antithrombotic drugs are generally used for orthopedic patients.
the study aim to evaluate and compare efficacy and safety of pericapsular nerve group block (PENG) block and lateral femoral cutaneous nerve versus Lumbar plexus block on postoperative analgesia in hip surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PENG and LFCN | Experimental |
| |
| lumbar plexus | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pericapsular nerve group and lateral femoral cutaneous nerve block | Procedure | Will undergo pericapsular nerve group block (PENG) combined with lateral femoral cutaneous nerve under ultrasound guided block with 20 mL of 0.25% bupivacaine. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale pain scores | pain score from 0-10 which 0 mean no pain and 10 the worst pain | 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| first analgesic request | time to demand nalbuphine | 24 hour |
| total analgesic consumption | total nalbuphine in mg consumed in the first day |
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Inclusion Criteria:
(ASA) physical status I to III scheduled for hip surgery aged (30-70) years
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| hassan m. hetta, lecturer | Contact | 1010901114 | 0020 | hassan.hetta@mu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| hassan m. hetta, lecturer | Minia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minia University | Recruiting | Minya | Minya Governorate | 61511 | Egypt |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| lumbar plexus block | Procedure | Will undergo Lumbar plexus block (LPB) under ultrasound guided block with 20 mL of 0.25 % bupivacaine. |
|
| 24 hour |
| First time to ambulate | first time to move | 24 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |