PENG Block vs FNB + ONB in Patients Undergoing Hip Fracture Surgery With Contraindications to Neuraxial Anesthesia (PENG/FNB+ONB)

Campus Bio-Medico University of Rome

Status: Completed

Conditions: Hip Fractures; Coagulopathy; Pain, Postoperative; Comorbidities and Coexisting Conditions

Treatments: Procedure: PENG BLOCK; Procedure: Obturator Nerve Block; Procedure: Femoral Nerve Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06457880

Campus Bio-Medico

Details and patient eligibility

About

The aim of the study is to demonstrate the efficacy of PENG block as the main anesthetic technique to manage perioperative analgesia for hip fracture surgery compared to femoral and obturator nerve block in patients with contraindications to spinal anesthesia.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergo hip surgery
• patients with contraindications at spinal anesthesia

Exclusion criteria

• allergy at local anesthetic
• age under 18 or weight under 30

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

PENG block

Experimental group

Description:

Before surgery, Patients undergo to ultrasound guided PENG block administering ropivacaine 0.5 % 20 mL.

Treatment:

Procedure: PENG BLOCK

Femoral nerve block + Obturator nerve block

Active Comparator group

Description:

Before surgery, Patients undergo to ultrasound guided femoral nerve block (ropivacaine 0.5 % 15 mL) + obturator nerve block (ropivacaine 0.5% 5 mL).

Treatment:

Procedure: Femoral Nerve Block

Procedure: Obturator Nerve Block