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Comparative Study Between Pericapsular Nerve Group Block (PENG) And Pericapsular Nerve Group (PENG) Block Combined With Lateral Femoral Cutaneous Nerve (LFCN) Block for Positioning Analgesia Prior to Spinal Anesthesia in Hip Fracture Patients

ConditionHip Fracture Surgeries
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAin Shams University

About this trial

To evaluate and compare the effectiveness of the Pericapsular Nerve Group (PENG) block alone versus the PENG block combined with the Lateral Femoral Cutaneous Nerve (LFCN) block in providing adequate analgesia for patient positioning during spinal anesthesia in individuals undergoing surgery for hip fracture.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18-70 years.

ASA I-II.

Confirmed primary unilateral hip fracture.

Scheduled for surgery under spinal anesthesia.

Disqualifiers

Allergy to local anesthetics.

Coagulopathy or on anticoagulant therapy.

Infection at injection site.

Pre-existing neurological deficits in the lower limbs.

Trial design

Design model

Parallel

Treatments tested in this trial

  • PENG Block

    Procedure/Surgery

    Pericapsular Nerve Group Block

  • LCFN block

    Procedure/Surgery

    Lateral Femoral Cutaneous Nerve block

  • bupivacaine 0.25%.

    Drug

    0.25% of Bupivacaine (Bupivacaine 0.5% is added to Lidocaine 2% in the same volume)

  • Xylocaine 2 %

    Drug

    local infilteration at the insertion site

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: group A (PENG BLOCK)Active comparator 3 interventions
Group B: Group B (PENG block and LCFN block)Active comparator 4 interventions

Trial outcomes

Primary outcomes

1

To compare the time taken to achieve optimal positioning for spinal anesthesia in both groups

time taken in seconds for positioning for spinal anesthesia 15 minutes post- block

Time frame
from initiation of patient positioning until optimal positioning is achieved during the spinal anesthesia procedure

Secondary outcomes

1

To assess Numerical Rating Pain Score in both groups at 0,5,10 and 15 minutes post block

It refers to the common method used in healthcare where patients rate their pain on a scale from 0 to 10 (0 = No pain 10 = Worst pain imaginable).

Time frame
at baseline (0 minutes) and at 5,10 and 15 minutes after completion of the block
2

To assess patient satisfaction and comfort during positioning using Likert scale

5-Point scale (1=strongly disagree and 5=strongly agree). The participants measure it 15 minutes post- block during positioning for spinal anesthesia

Time frame
during patient positioning 15 minutes after completion of the block
3

To monitor mean arterial blood pressure

Comparing mean arterial blood pressure between the 2 groups by millimeter of mercury (mmhg) at 0,5,10 and 15 minutes post-block.

Time frame
at baseline (0 minutes) and at 5,10 and 15 minutes after completion of the block
4

To monitor heart rate

Comparing the heart rate ( by beats per minute) in the 2 groups at 0,5,10 and 15 minutes post-block.

Time frame
At baseline (0 minutes) and at 5,10 and 15 minutes after completion of the block

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ain Shams University

Lead sponsor

Source ClinicalTrials.gov
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