Comparing Circum-Psoas Block and Combined Lumbar and Sacral Plexus Blocks for Pain Relief After Hip Fracture Surgery in Older Adults

What this Trial Is About

Hip fractures are a significant global health issue for older adults, with high mortality rates and serious impacts on independence and quality of life. Surgical treatment is the preferred option for hip fractures in the elderly, but it often causes moderate to severe pain after surgery. Effective pain management and early rehabilitation are crucial for recovery, reducing hospital stay, and improving mobility. This trial explores new approaches to pain relief after hip fracture surgery, comparing two nerve block techniques to find better pain control methods under general anesthesia. The study compares ultrasound-guided circum-psoas block and combined lumbar and sacral plexus blocks as methods of pain relief after hip fracture surgery. Participants will receive general anesthesia and then one of the two nerve block techniques using 40 ml of 0.25% bupivacaine. The lumbar and sacral plexus blocks aim to block nerves supplying the hip, while the circum-psoas block targets key lumbar plexus branches. The comparison evaluates which approach provides better sensory block and postoperative pain relief. Participants will be monitored for pain levels using the Visual Analogue Scale at several time points up to 24 hours after surgery. Sensory block levels will be assessed at 2 hours postoperatively, and the total dose of additional pain medication needed in the first 24 hours will be recorded. The study uses randomized, double-blind methods to compare these techniques in patients aged 60 and older undergoing hip fracture surgery. The trial will help determine effective pain management strategies for this patient group.

Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks in Hip Fracture Surgery