PENG vs SIFI Block for Positioning Pain During Spinal Anesthesia

Comparison of the Effect of Pericapsular Nerve Group Block and Suprainguinal Fascia Iliaca Compartment Block for Preventing Positioning Pain During Spinal Anesthesia in Orthopedic Hip Surgery Patients: A Prospective Observational Study

This study aims to compare the effectiveness of preoperative ultrasound-guided suprainguinal fascia iliaca compartment block (SFICB) and pericapsular nerve group block (PENG) in preventing positioning pain during spinal anesthesia in patients who are scheduled for surgery due to hip fracture.

Study Overview

• Status: Completed
• Conditions: Hip Fractures; Spinal Anesthesia; Nerve Block; Acute Post Operative Pain
• Intervention / Treatment: Other: PENG Block; Diagnostic test: Numeric Rating Scale; Diagnostic test: Angle of sitting; Other: SIFI compartment block

Detailed Description

Patients to whom an analgesic block was placed (either PENG or SIFI compartment analgesic block) to ameliorate positioning pain during spinal anesthesia for hip fracture surgery will be enrolled after written consent is obtained. Patients will be asked to report their pain intensity while sitting and their sitting angle will be measured. Patients will be observed for any possible complications( LAST, allergic reactions, hypotension, bradycardia). Pain intensity will then again be questioned postoperatively along with analgesic consumption at the 24th hour. Patients will be arranged into two cohorts according to the block (PENG vs SIFI) and the data obtained will be compared between two cohorts.

• Study Type: Observational
• Enrollment (Actual): 52

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey, 34384
    • Prof. Dr. Cemil Taşcıoğlu City Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Participants will be recruited from a population of patients in a tertiary medical care center who are scheduled to undergo hip fracture surgery with spinal anesthetics and to whom either of the analgesic blocks PENG or SIFI compartment block is placed.

Description

Inclusion Criteria:

• Adults with a hip fracture
• who were scheduled to undergo surgery with spinal anesthetics
• has no neurologic disorders that impair cooperation (e.g dementia)
• has no true allergies to local anesthetics
• has no contraindications for regional or neuraxial anesthesia (e.g bleeding diathesis, severe aortic stenosis)

Exclusion Criteria:

• Childer under the age of 18
• patients scheduled to undergo surgery with general anesthetics
• refusing to participate
• allergies to local anesthetics
• any neurologic disorder that impairs patient cooperation
• any contraindication to regional or neuraxial anesthetics

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
PENG block; This cohort will include participants to whom a PENG block is performed before positioning for spinal anesthesia	Other: PENG Block; PENG block for analgesic purposes performed before hip surgery; Diagnostic test: Numeric Rating Scale; Self-reported pain intensity score between 0-10; Diagnostic test: Angle of sitting; Measurement of sitting angle in degrees with a protractor
SIFI block; This cohort will include participants to whom a SIFI compartment block is performed before positioning for spinal anesthesia	Diagnostic test: Numeric Rating Scale; Self-reported pain intensity score between 0-10; Diagnostic test: Angle of sitting; Measurement of sitting angle in degrees with a protractor; Other: SIFI compartment block; SIFI compartment block for analgesic purposes performed before hip surgery

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Positioning pain during spinal anesthesia with 10-point numeric rating scale (NRS)	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible	30 minutes after the block is placed

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Sitting angle during positioning	Angle of sitting in degrees measured with a protractor during sitting for spinal anesthesia	30 minutes after the block is placed
Postoperative pain with 10-point numeric rating scale (NRS)	NRS is a self-reported pain scale where patient defines intensity of their pain on a scale of 0 to 10. Zero means the patient has no pain while ten means the patient is experiencing the worst pain possible	Postoperative day 1

Collaborators and Investigators

• Sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
• Investigators: Principal Investigator: Onur OKUR, Prof. Dr. Cemil Taşcıoğlu City Hospital; Study Director: Müslüm AKKILIC, Prof. Dr. Cemil Taşcıoğlu City Hospital

Study record dates

Study Major Dates

• Study Start (Actual): September 20, 2022
• Primary Completion (Actual): January 20, 2023
• Study Completion (Actual): January 20, 2023

Study Registration Dates

• First Submitted: September 17, 2022
• First Submitted That Met QC Criteria: September 20, 2022
• First Posted (Actual): September 22, 2022

Study Record Updates

• Last Update Posted (Estimate): March 7, 2023
• Last Update Submitted That Met QC Criteria: March 6, 2023
• Last Verified: March 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Fractures, Bone; Wounds and Injuries; Leg Injuries; Femoral Fractures; Hip Injuries; Pain, Postoperative; Hip Fractures
• Other Study ID Numbers: 326

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No