PENG Block With Two Diffirent Volume
Condition: Pain, Acute; Postoperative Pain; Hip Fractures
MeSH terms: Acute Pain; Hip Fractures
Study type: Interventional

Summary: 
      Hip fractures are morbid conditions, especially in elderly patients, and their treatment is
      usually surgical. Pericapsular nerve group block is a newly defined block and targets the hip
      capsule. The aim of this study is to investigate and compare the perioperative analgesic
      efficacy of PENG blocks applied in two different volumes in patients undergoing hip fracture
      surgery under spinal anesthesia.
    

Detailed description: 
      Hip fractures are morbid conditions, especially in elderly patients, and their treatment is
      usually surgical. Pericapsular nerve group block is a newly defined block and targets the hip
      capsule. The aim of this study is to investigate and compare the perioperative analgesic
      efficacy of PENG blocks applied in two different volumes in patients undergoing hip fracture
      surgery under spinal anesthesia.

      60 ASA I-III patients between 35-90 years of age who will be operated for femoral head/neck
      fractures will be included in the study. US-guided block procedure will be applied 30 minutes
      before the start of surgery. The patients will be divided into two groups, Group I, PENG
      block 20ml bupivacaine (n:30) and Group II, PENG block 30ml bupivacaine (n:30) using the
      closed envelope method in the operating room. Randomization will be performed by one of the
      researchers for each patient. Randomization information of patients will be used for all
      follow-up and data collection. The anesthetist applying the block will not take any part in
      collecting the data or performing the analysis. Numerical rating scale (NRS) will be used to
      evaluate pain. Patients will be given spinal anesthesia 30 minutes after PENG block. The
      primary outcome measure was determined as pain during positioning. NRS scores will be
      recorded after entering the operating room before, immediately before, during, and
      immediately after any analgesic intervention. Secondary outcome measures will be determined
      as the time required for LA performance (measured from the start of the position maneuvers to
      removal of the spinal needle), the quality of the patient position for LA performance
      ("unsatisfactory", "satisfactory", "good", "very good" to define SA). Questionnary 15 test
      will be applied to the patients 24 hours after the operation to measure patient satisfaction
      and to measure patient satisfaction.
    

Intervention name(s): Ultrasound guided PENG block with 20 mL Local Anesthetic solution; Ultrasound guided PENG block with 30 mL Local Anesthetic solution
Intervention type(s): Other; Other
Intervention description(s): In this group, US guided PENG block will be performed with 20 ml of Bupivacaine solution (0.25 %). Block will be performed 30 minutes before spinal anesthesia.; In this group, US guided PENG block will be performed with 20 ml of Bupivacaine solution (0.25 %). Block will be performed 30 minutes before spinal anesthesia.
Intervention MeSH terms: Anesthetics; Anesthetics, Local; Pharmaceutical Solutions
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary purpose: Other