Comparison of PENG Block and FICB in Hip Fracture Patients

Not Applicable

Completed

• Conditions: Hip Fractures; Regional Anesthesia
• Interventions: Procedure: Fascia iliaca compartment block (FICB); Procedure: Pericapsular nerve group (PENG) block

• Registration Number: NCT04677348
• Lead Sponsor: Asan Medical Center

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-12-10
• Study First Submitted QC: 2020-12-15
• Study First Posted: 2020-12-21
• Study Start: 2021-01-21
• Primary Completion: 2022-01-26
• Study Completion: 2022-02-11
• Status Verified: 2022-03
• Last Update Submitted: 2022-03-21
• Last Update Posted: 2022-03-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
FICB group	Fascia iliaca compartment block (FICB)	suprainguinal fascia iliaca compartment block (FICB) before surgery
PENG group	Pericapsular nerve group (PENG) block	pericapsular nerve group (PENG) block before surgery

Primary Outcome Measures

Name	Time	Method
Efficacy of each block (Pain score)	before surgery	We will assess the dynamic pain (pain during a movement) using NRS before and 20-30min after applying the assigned block. Then, we will calculate the change of NRS at the two time-points.; NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable)

Secondary Outcome Measures

Name	Time	Method
postoperative opioid consumption	postoperative 24, 48hours	morphine-equivalent dose
postoperative motor function	postoperative 6, 24, 48hours	motor function of quadriceps femoris; grade5: normal power grade4: movement possible against some resistance grade3: movement against gravity but not resistance grade2: movement possible if gravity eliminated grade1: flicker of contraction possible grade0: complete paralysis
postoperative pain score	postoperative 6, 24, 48hours	resting and dynamic pain using NRS at postoperative 6, 24, 48hours; NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable)
change of heart rate	before surgery	We will evaluate the heart rate before and 20-30 min after applying the assigned block. Then, we will calculate the change of heart rate at the two time-points.
change of blood pressure (systolic, diastolic, mean blood pressure)	before surgery	We will evaluate the blood pressure before and 20-30min after applying the assigned block. Then, we will calculate the change of blood pressure at the two time-points.

Trial Locations

Locations (1)

Asan Medical Center; 🇰🇷 Seoul, Korea, Republic of