Femoral Nerve Block vs Peri-capsular Nerve Group Block for Hip Fracture Analgesia

Study Overview
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Brief Summary
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The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia

Detailed Description
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Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.

Official Title
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Comparison of Femoral Nerve Block Versus Peri-capsular Nerve Group Block for Analgesia During Positioning for Spinal Anesthesia in Patients With Hip Fracture

Conditions
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Spinal Anesthesia, Analgesia, Hip Fractures

Intervention / Treatment
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* Other: femoral nerve block
* Other: peri-capsular nerve group block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with hip fracture scheduled for surgery under spinal anesthesia. Exclusion Criteria: hemorrhagic diathesis, peripheral neuropathy, allergy to local anesthetics, mental disorders, use of analgesics for 8 h before the performance of spinal block

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Femoral nerve block group<br>Thirty minutes before the placement of spinal block, patients will be receive a femoral nerve block with Bupivacaine. | Other: femoral nerve block<br>* Patients will be performed a femoral nerve block using bupivacaine thirty minutes before the performing of spinal block.<br>|
| Other: Peri-capsular nerve group block group<br>Thirty minutes before the placement of spinal block, patients will be receive a peri-capsular nerve group block with Bupivacaine. | Other: peri-capsular nerve group block<br>* Patients will be performed a peri-capsular nerve group block using bupivacaine thirty minutes before the performing of spinal block.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia | Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain). | 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of pain scores at rest | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance. | 30 min | 
| Rate of pain scores on passive limb lifting | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance. | 30 min | 
| rate of postoperative pain scores | Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively. | 24 hours | 
| Amount of postoperative analgesic consumption | Postoperative analgesic consumption will be recorded for postoperative 24 hours | 24 hours |