Comparison of the Efficacy of Pericapsular Nerve Group Block Alone Versus Pericapsular Nerve Group Block Combined With Superior Cluneal and Superior Gluteal Nerve Blocks in Patients Undergoing Hip Surgery

MI-összefoglaló

A vizsgálat saját részvételi feltételeiből. Gép olvasta ki az oldalon álló regiszterszövegből, ezért tévedhet. Hogy ki vehet részt, azt a lenti regiszterszöveg és a vizsgálat csapata dönti el.

The trial is looking for adults having total hip replacement surgery. It compares two ways of numbing nerves around the hip to control pain.

Életkor

18 to 80 years

Nem

Male and female

A betegség stádiuma

People having hip surgery, with ASA physical status I, II, or III (a score of general health before surgery).

Korábbi kezelés

People who have used blood thinners (anticoagulants), take opioid pain medicine long-term at home, or had spine surgery or surgery in the groin area cannot join.

A részvétel fő kizáró okai

• Allergy to the medicines used in the study
• Past severe heart, kidney, or liver disease
• Nerve problems or nerve damage (neuropathy)
• Past use of blood thinners, long-term opioid use at home, or past spine or groin surgery
• Pregnancy

A regiszter feltételei, szó szerint

Nézd meg, megfelelhetsz-e

Magadról válaszolj. Ez nem döntés: hogy részt vehetsz-e, azt csak a vizsgálat csapata mondhatja meg.

• 18 és 80 év között vagy?IgenNem

Mit akar kideríteni a vizsgálat

In the clinic, total hip arthroplasty is a frequently performed surgical procedure that often results in moderate to severe postoperative pain. Multimodal analgesia approaches are commonly preferred for managing this pain, and in recent years, nerve blocks targeting pelvic innervation have become increasingly prominent. Among these, the Pericapsular Nerve Group (PENG) block has gained attention for providing effective analgesia by targeting the nerves responsible for the anterior innervation of the hip capsule. However, when used alone, the PENG block may be insufficient for controlling posterior hip pain and may not provide complete analgesia.

A vizsgálat 2 csoportja

• Application of PENG BlockMár használt kezelés, összehasonlításként

  Patients will be brought to the operating room one hour before surgery, and no premedication will be administered prior to their arrival. Before performing the PENG block, patients will be placed in the supine position. The ultrasound probe will be positioned in the transverse plane medial and caudal to the anterior superior iliac spine, and the anterior inferior iliac spine, iliopubic eminence, and psoas tendon will be identified. Using an in-plane technique, the needle will be advanced from lateral to medial and positioned between the psoas tendon and the periosteum. After negative aspiration, 15 mL of 0.25% bupivacaine will be administered.

  Kezelés: 15 ml Bupivacaine Hcl 0.25% injection és 20 mL bupivacaine 0.25% injection

• Application of PENG Block together with Superior Cluneal and Superior Gluteal Nerve BlocksMár használt kezelés, összehasonlításként

  All patients will receive a PENG block, and in addition: The superior cluneal nerve block will be performed at the level of the posterior iliac crest under ultrasound guidance, along the course of the nerve, using 10 mL of 0.25% bupivacaine. The superior gluteal nerve block will be administered in the lateral decubitus position under ultrasound guidance, with 10 mL of 0.25% bupivacaine injected between the gluteal muscles along the trajectory of the nerve.

  Kezelés: 20 mL bupivacaine 0.25% injection