Combined Ultrasound and Fluoroscopy-guided Technique for Anterior Hip Denervation
NCT04945668 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 16
Last updated 2021-06-30
Summary
Hip fracture is a challenging geriatric problem for health care professionals, especially in patients with multiple comorbidities. In patients with inoperable hip fractures secondary to severe comorbid conditions, the pain can lead to significant challenges in nursing care.
A recent anatomical study confirmed the innervation of the anterior hip by these 3 main nerves but also found that the AON and FN play a greater role in the anterior hip innervation than previously reported.
Conditions
- Hip Fractures
Interventions
- PROCEDURE
-
Modified technique for pericapsular nerve group block
with the patient in the supine position, ultrasound probe in a transverse plane over the anterior inferior iliac spine (AIIS) and then aligned with the pubic ramus. In this view, the ilio pubic eminence (IPE), the iliopsoas muscle and tendon will be observed. A spinal needle will be inserted from lateral to medial in an in-plane approach to place the tip between the psoas tendon and the pubic ramus. Fluoroscopic image will be taken to confirm the needle tip position in the target site. Following negative aspiration, 15 ml dye will be injected in 5-mL increments while observing for adequate spread using fluoroscopy followed by 15ml local anesthetic
Sponsors & Collaborators
-
Mansoura University
lead OTHER
Principal Investigators
-
Mohamed Y Makharita, M.D. · Professor of Anesthesia and Surgical Intensive Care
-
Shimaa Shalaby, M.Sec. · Assistant lecturer of Anesthesia and Surgical Intensive Care
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 50 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-07-31
- Primary Completion
- 2021-09-30
- Completion
- 2021-10-31
Countries
- Egypt
Study Locations
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