Clinical trial NCT04681222: Comparison of the Efficacy of PENG Block in Combination With LFCN Block and Wound Infiltration
Official title: Postoperative Pain Management in Patients Undergoing Total Hip Arthroplasty: PENG Block in Combination With LFCN Block or Wound Infiltration?
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Postoperative Pain
Keywords: Coxarthrosis
Regional Anesthesia
Total Hip Replacement
Lead sponsor: Derince Training and Research Hospital
Sponsor class: OTHER
Collaborators: name: Bursa Yüksek İhtisas Education and Research Hospital
First posted: 2020-12-23
Enrollment: 22
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients underwent total hip arthroplasty with the diagnosis of coxarthrosis, and those received PENG blocks for postoperative analgesia combined with whether LFCN block or wound infiltration.

Brief summary: The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries.

Detailed description: The ultrasound-guided approach for the blockade of articular branches of femoral and obturator nerves, pericapsular nerve group (PENG) block, is an effective method for postoperative analgesia in hip surgeries. However, it fails to provide cutaneous analgesia on the anterolateral surgical incisional site. This study compares the effects of wound infiltration and lateral femoral nerve blocks in combination with PENG blocks for postoperative pain in patients undergoing total hip arthroplasty for coxarthrosis.

Eligibility criteria: Inclusion Criteria:

* Coxarthrosis
* Total hip replacement
* Patients agreed to receive PENG block
* LFCN or wound infiltration performed combined with PENG blocks

Exclusion Criteria:

* Other kinds of hip surgeries
* Total hip replacement performed for other indications
* Patients refused to receive PENG block

Primary outcomes:
measure: First analgesic demand
timeFrame: 24 hours
Secondary outcomes:
measure: Opioid consumption
timeFrame: 24 hours
measure: Numeric Rating Scale
timeFrame: 24 hours
measure: Nonsteroidal Anti-inflammatory Drugs (NSAID)
timeFrame: 24 hours
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Derince Training and Research Hospital
state: Derince
Study officials:
References:
citation: Giron-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular Nerve Group (PENG) Block for Hip Fracture. Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847.
citation: Roy R, Agarwal G, Pradhan C, Kuanar D. Total postoperative analgesia for hip surgeries, PENG block with LFCN block. Reg Anesth Pain Med. 2019 Mar 28:rapm-2019-100454. doi: 10.1136/rapm-2019-100454. Online ahead of print. No abstract available.
citation: Nersesjan M, Hagi-Pedersen D, Andersen JH, Mathiesen O, Dahl JB, Broeng L, Thybo KH. Sensory distribution of the lateral femoral cutaneous nerve block - a randomised, blinded trial. Acta Anaesthesiol Scand. 2018 Jul;62(6):863-873. doi: 10.1111/aas.13091. Epub 2018 Feb 21.
citation: Giron-Arango L, Roques V, Peng P. Reply To Dr Roy et al: Total postoperative analgesia for hip surgeries: PENG block with LFCN block. Reg Anesth Pain Med. 2019 Mar 28:rapm-2019-100505. doi: 10.1136/rapm-2019-100505. Online ahead of print. No abstract available.
citation: Mistry T, Sonawane KB, Kuppusamy E. PENG block: points to ponder. Reg Anesth Pain Med. 2019 Mar;44(3):423-424. doi: 10.1136/rapm-2018-100327. Epub 2019 Jan 11. No abstract available.