PENG vs. FIC Blocks in Hip Fractures in the ED

Orange Park Medical Center

Status

Not yet enrolling

Conditions

Hip Fractures

Nerve Block

Analgesia

Treatments

Procedure: Fascia Iliaca Compartment (FIC) Block for Patients with Isolated Hip Fractures

Procedure: Pericapsular Nerve Group (PENG) Block

Study type

Interventional

Funder types

Other

Identifiers

NCT06336460

2023-537

Details and patient eligibility

About

This study is a prospective, randomized clinical trial assessing the efficacy of physician-performed ultrasound-guided pericapsular nerve group (PENG) block vs fascia iliaca compartment (FIC) block for pain control in acute hip fracture.

Enrollment

60 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult (>= 18 years of age)
Isolated proximal hip fracture (defined as Intertrochanteric or more proximal) as identified by X-ray, Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) scan
Glasgow Coma Score (GCS) = 15
Subjective pain score of >= 5 on a scale of 0 to 10 just prior to the nerve block placement

Exclusion criteria

Patients who are unable to give consent due to altered mental status or dementia
Clinically intoxicated patients
Patients who are unable to communicate their numeric level of pain
Open fracture or penetrating hip trauma
Signs of infection or laceration at injection site
Patients with multi-system trauma
Painful distracting injury (injury causing significant pain that distracts the patient from having reliable scoring of hip fracture pain, e.g. humerus fracture, dislocated joint)
Requiring immediate surgical intervention (< 1 hour)
Deemed clinically unstable by treating physician
Abnormal vital signs (Pulse>120bpm, Systolic blood pressure < 100 mm Hg, Pulse O2 < 95%)
Patients on long-acting systemic opioid analgesia
Allergy to amide local anesthetics
Vulnerable populations including pregnant patients, prisoners, children, elderly dementia patients. All precautions will be taken to avoid coercion, harm and exploitation of these vulnerable populations, thus they are to be excluded from this study. They will receive pain medications as deemed appropriate by their treating physician.