The comparison of pericapsular nerve group block (PENG block) with fascia iliaca block on opioid intra-operative consumption and post-operative analgesic effects in extra-capsular and intra-capsular hip fracture

- The Comparison of pericapsular nerve group block (PENG block) with Fasia iliac block on opioid intraoperative consumption and post-operative analgesic effects in extra capsular and intracapsular hip fracture

A randomized controlled clinical trial with parallel groups, Double blinded

After approval by the ethics committee of Shahid Beheshti University of Medical Sciences and obtaining patient satisfaction, 36 patients aged between 50-75 years and ASA class I and II, who are candidates for femoral neck fracture or intertrochanteric fracture surgery, will be randomly assigned to 2 groups according to the table of random numbers.

Inclusion criteria: - Patients with hip fractures (femoral neck and intertrochanteric fractures) aged 50-75 years and ASA Class I and II - Elective surgery - Hemoglobin levels above 9 mg / dl Exclusion criteria: - Other fractures or other lesions require surgery - History of drug or psychotropic addiction - Presence of psychiatric illnesses - Existence of coagulation disorder or contraindication to spinal anesthesia - Sensitivity to local anesthetics - Nervous disorders in the nerves of the lower extremities

First intervention group: After prep , with a 2 cc syringe with a 1% Lidocaine injection, with the help of a high-frequency linear transducer, an in-plane ultrasound machine with a B Brain needle of 3 ml / kg and a maximum of 40 cc Rupivacaine is injected directly between the fascia iliac and the iliopsoas muscle. Second intervention group: Patient group with pericapsular nerve block: PENG is given to each patient under the guidence of low frequency, Curvilinear probe that is Horizontally placed over Anterior inferior iliac spine.

intra-operative opioid consumption; Pain

Accidentalization was performed using block randomization method with 9 blocks and 2, 4, 6, 8 in blocks using blockrand package in R software.

In the first step, the first and second intervention groups will be placed in the envelope. The study is double blind in that the patient will not be aware of the type of treatment, the evaluator will be different from the therapist, and the evaluator will be uninformed, but the therapist will be aware of the treatment. The evaluator will examine the patients at the beginning of their visit and refer them to a therapist if they have the conditions to study, and the therapist will select the treatment envelope according to the random block method. In the next step, the evaluator will perform the evaluation without knowing the assigned method.

All potential data can be shared after unidentifiable people

Start of access period 6 months after printing results

Researchers working in academic and scientific institutions

1. Respecting the ethics and religion of the patients who participate in these studies. 2-To help improve the validity of the data produced. 3. Assist physicians in interpreting and minimizing disruption to clinical trials. 4. Prevent the recruitment of volunteers who are exposed to the dangers of high-risk trials. 5. Mass media information on the effects of trials that do not conform to the interests of pharmaceutical companies.

drhamidrezasamadpour@gmail 00989125395847

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