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The aim of the study is to demonstrate the efficacy of PENG block as the main anesthetic technique to manage perioperative analgesia for hip fracture surgery compared to femoral and obturator nerve block in patients with contraindications to spinal anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PENG block | Experimental | Before surgery, Patients undergo to ultrasound guided PENG block administering ropivacaine 0.5 % 20 mL. |
|
| Femoral nerve block + Obturator nerve block | Active Comparator | Before surgery, Patients undergo to ultrasound guided femoral nerve block (ropivacaine 0.5 % 15 mL) + obturator nerve block (ropivacaine 0.5% 5 mL). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PENG BLOCK | Procedure | Preoperative ultrasound guided PENG block (ropivacaine 0.5 % 20 mL) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| preoperative pain | Preoperative pain score expressed by numerical rating scale 0-10 | 30 minutes |
| Pain following regional anesthesia | Preoperative pain score following regional anesthesia execution expressed by numerical rating scale 0-10 | 30 minutes |
| Postoperative pain | Postoperative pain score expressed by a numerical rating scale 0-10 | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Morphine milligrams (mg) consumption | needed opioid rescue therapy | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Campus Bio Medico | Roma | 00128 | Italy |
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| Femoral Nerve Block |
| Procedure |
Preoperative ultrasound guided femoral nerve block (ropivacaine 0.5 % 15 mL) |
|
| Obturator Nerve Block | Procedure | Preoperative ultrasound guided obturator nerve block (ropivacaine 0.5 % 5 mL) |
|
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D010149 | Pain, Postoperative |
| D020141 | Hemostatic Disorders |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006474 | Hemorrhagic Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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