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Comparison of PENG Block and FICB in Hip Fracture Patients

A

Asan Medical Center

Status

Completed

Conditions

Hip Fractures
Regional Anesthesia

Treatments

Procedure: Fascia iliaca compartment block (FICB)
Procedure: Pericapsular nerve group (PENG) block

Study type

Interventional

Funder types

Other

Identifiers

NCT04677348
2020-1822

Details and patient eligibility

About

Fascia iliaca compartment block (FICB) has been considered the block of choice for patients with hip fracture. However, pericapsular nerve group (PENG) block, one of the relatively newly-developed blocks, could be also used for analgesia in patients with hip fracture. Since PENG block could block the accessory obturator nerve, PENG block might have greater analgesic effects compared to FICB theoretically. However, the comparison of these two blocks in patients with hip fracture has not performed in clinical setting. Thus, we aimed to compare the analgesic effect of PENG block and FICB.

Enrollment

80 patients

Sex

All

Ages

19+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • ASA PS 1-4
  • age: ≥19
  • baseline pain score (associated with hip fracture): ≥4

Exclusion criteria

  • patients who do not agree to participate in this study
  • patients with uncontrolled hypertension, hyperthyroidism, severe dementia
  • allergic to ropivacaine
  • contraindicated to spinal anesthesia due to coagulopathy, severe aortic stenosis/mitral stenosis, or active infection on lumbar region
  • patients who are considered ineligible with any other reason by investigators

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

80 participants in 2 patient groups

PENG group
Experimental group
Description:
pericapsular nerve group (PENG) block before surgery
Treatment:
Procedure: Pericapsular nerve group (PENG) block
FICB group
Active Comparator group
Description:
suprainguinal fascia iliaca compartment block (FICB) before surgery
Treatment:
Procedure: Fascia iliaca compartment block (FICB)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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