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Ultrasound-guided Supra-inguinal Fascia Iliaca compartment Block (SIFCB) and Pericapsular Nerve Group Block (PENG) are increasingly being used for postoperative analgesia for hip surgery. The postoperative analgesic efficacy of SIFCB added to PENG block in elderly hip fracture patients will be evaluated. Postoperative opioid consumption and quality of recovery will also be evaluated.
The study was conducted as a retrospective cohort feasibility design within a tertiary hospital. Patient records and electronic data systems were used to gather the required data for analysis. Before surgery, a carefully selected cohort of patients who underwent PENG block and PENG block added SIFCB were included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pericapsular nerve group (PENG) block | Patients who underwent PENG in Hip surgery under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores. |
| |
| Suprainguinal fascia compartment block (SIFCB) + PENG | Patients who underwent PENG+SIFCB in Hip surgery under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PENG block | Procedure | Patients underwent ultrasound-guided PENG Block for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid consumption | If the patient's Numerical Rating Scale (NRS) score is equal to or above 4, tramadol 50 mg IV or oxycodone 5 mg orally every 4 hours will be administered as rescue analgesia. | Postoperative 48th hour |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Rating Scale (NRS) scores | Range 0-10, 0=no pain, 10=the worse pain ever | Postoperative 48th hour |
| Quality of Recovery 15 Score | Quality of Recovery (QoR)-15 survey.Minimum value: 0, Maximum value: 150, higher scores mean better |
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Inclusion Criteria:
Exclusion Criteria:
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Data of patients underwent hip surgery under spinal anesthesia between 31.01.2023 and 01.10.2023.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karaman Training and Research Hospital | Karaman | Karaman/Merkez | 70200 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D004364 | Pharmaceutical Preparations |
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| PENG block+ SIFCB | Procedure | Patients underwent ultrasound-guided PENG Block+ SIFCB for older adult patients surgery for hip fracture. Patients who received opioids as a rescue analgesic during postoperative pain management on selected dates will be included in the study. |
|
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| Postoperative day 1 and 1 month |
| Postoperative complications | Presence of postoperative nausea, vomiting, pruritus, urinary retention, respiratory depression | 24 hours |
| Mobilization time | Mobilization time | 24 hours |
| D007869 |
| Leg Injuries |