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Sacral ESPB vs. PENG Block for Hip Hemiarthroplasty Analgesia

RecruitingNAAges 50 Years - 90 YearsAllFayoum University Hospital
NCT07442721 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Sacral erector spinae plane block(S-ESPB) has been recently described. Case reports are showing that it is useful in various types of surgery. In case presentations, it has been reported as effective in providing analgesia in the posterior branches of the sacral nerves in pilonidal sinus surgery, in the treatment of radicular pain at the L5 - S1 level, after a sex reassignment operation and hypospadias surgery, and its use in combination with lumbar ESPB for analgesia was reported after hip prosthesis surgery . Described in 2018, pericapsular nerve group (PENG) block selectively targets the articular branches of the femoral and accessory obturator nerves thereby providing potential motorsparing analgesia for hip surgery . Recent studies found that PENG block targets the articular branches of the femoral and accessory obturator nerves, only anesthetizes the anterior hip joint sparing pos

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients with ages from 50 to 90 years of either gender, with diagnosis of intracapsular neck of femur fracture scheduled for elective hip hemiarthroplasty • Patients with an American Society of Anesthesiologists (ASA) physical status I to III. Exclusion Criteria: * • Patient refusal. * Allergy to local anesthetics and patient with infection at the injection site of block * Patient with contraindication to spinal anesthesia. * Coagulopathy as INR≥1.5 or platelets ≤80\*103 / microliter) * Patients with body mass index\>35 kg / m2 * Patients with peripheral neuropathy or diabetic neuropathy * Patients receiving opioids for chronic analgesic therapy (cancer, addiction). * Cognitive impairment preventing pain scoring. * Chronic renal failure requiring dose modification. * Bilateral hip fracture or previous ipsilateral hip surgery
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What it tests

  • Sacral erector spinae plane block
  • PENG block
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Where

1 site
Fayoum University hospita
El Fayoum Qesm, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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