Pericapsular Nerve Group (PENG) Block Versus Intra-articular Injection for Hip Arthroscopy: A Randomized Trial

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Hip arthroscopy is a popular surgical method that is increasingly being used for both intraarticular and extraarticular hip surgeries. Postoperative acute pain is difficult to control in hip surgeries due to the complex nature of hip innervation and the large number of surgical interventions. Optimal treatment of postoperative pain in hip arthroscopy is very important to be able to perform rehabilitation, avoid opioid side effects and minimize unplanned re-hospitalization. Regional anesthesia techniques are widely used because of their proven efficacy in post-surgical pain management and their safety profile that ultimately contributes to early recovery. Many regional techniques such as neuraxial blocks, lumbar plexus block, femoral nerve block, fascia iliac block and intraarticular local anesthetic injection have been used for the treatment of acute postoperative pain. Femoral nerve and fascia iliac blocks have shown good results for long-term post-surgery analgesia. However, the obturator nerve and accessory obturator nerve should be targeted to achieve more effective perioperative pain control. There are studies reporting that pericapsular nerve group block (PENG), which has been defined in recent years, provides effective perioperative analgesia in hip surgeries. In this study, we aim to compare the effectiveness of PENG block and intra-articular local anesthetic injection in hip arthroscopy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:

• American Association of Anesthesiologists (ASA) physical status I - III

• BMI 20 to 35 kg / m2

• Patients scheduled for elective hip arthroscopy

• Able to provide informed consent.

Locations
Other Locations
Turkey
Bezmialem Vakıf University
RECRUITING
Istanbul
Contact Information
Primary
Serdar Yeşiltaş, Asist Prof.
syesiltas@bezmialem.edu.tr
05423632630
Backup
Yeşiltaş, Asist Prof.
Time Frame
Start Date: 2021-01-20
Estimated Completion Date: 2024-04
Participants
Target number of participants: 72
Treatments
Active_comparator: Ultrasound guided pericapsular nerve group block
Injection of 15 ml 0.5% bupivacaine + 2 mg dexamethasone + 14.5 ml isotonic saline mixture between iliopubic eminentia and psoas tendon under ultrasound guidance
Active_comparator: Intra-articular local anesthetic injection
At the end of the surgical case, a total of 10 ml 0.5% bupivacaine + 2 mg dexamethasone + 9.5 ml isotonic saline injection intra-articularly.
Related Therapeutic Areas
Sponsors
Leads: Bezmialem Vakif University

This content was sourced from clinicaltrials.gov

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