Femoral Nerve Block vs Peri-capsular Nerve Group Block for Hip Fracture Analgesia

Comparison of Femoral Nerve Block Versus Peri-capsular Nerve Group Block for Analgesia During Positioning for Spinal Anesthesia in Patients With Hip Fracture

The purpose of the study is to compare the analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia

Spinal anesthesia is commonly used in patients undergoing hip fracture surgery. However the procedure of patient positioning to perform a spinal block is painful and may require the administration of IV analgesics or some regional anesthesia techniques such as femoral nerve block, fascia-iliaca compartment block, peri-capsular nerve group block. At the study, the investigators aimed to compare analgesic efficacy of femoral nerve block and peri-capsular nerve group block administered before spinal anesthesia for positioning to spinal anaesthesia in patients undergoing surgery for hip fracture and to evaluate the efficacy for postoperative analgesia.

Thirty minutes before the placement of spinal block, patients will be receive a femoral nerve block with Bupivacaine.

Thirty minutes before the placement of spinal block, patients will be receive a peri-capsular nerve group block with Bupivacaine.

Patients will be performed a femoral nerve block using bupivacaine thirty minutes before the performing of spinal block.

Patients will be performed a peri-capsular nerve group block using bupivacaine thirty minutes before the performing of spinal block.

Rate of pain scores assessed by Numerical rating Score Scale during positioning for spinal anesthesia

Pain scores will be assessed by Numerical Rating Scale (NRS) scores (from 0=no pain to 10=maximum possible pain).

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) at rest before and 30 min after the block performance.

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain) on passive limb lifting before and 30 min after the block performance.

Pain scores will be assessed by Numerical Rating Scale (NRS) scores from 0 (no pain) to 10 (maximum possible pain).at 6, 12, 24 hours postoperatively.

Inclusion Criteria: patients with hip fracture scheduled for surgery under spinal anesthesia. Exclusion Criteria: hemorrhagic diathesis, peripheral neuropathy, allergy to local anesthetics, mental disorders, use of analgesics for 8 h before the performance of spinal block