Comparison of Pericapsular Nerve Group Block (PENG) Versus Fascia Iliaca Compartment Block (FICB) for Hip Fracture Analgesia in Emergency Department Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Femoral Neck Fractures
- Sponsor
- University of Virginia
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Pain score
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Regional anesthesia for hip fractures has been shown to decrease rates of delirium in elderly patients with hip fractures as well as improve pain compared to systemic opioids. The Pericapsular Nerve Group (PENG) block has recently received attention as an alternative approach to femoral nerve block and Fascia Iliaca Compartment Block (FICB). The investigators seek to evaluate if there is a difference between the PENG and FICB in terms of efficacy of pain control in ED patients presenting with hip fracture. We hypothesize that the PENG block may be superior based on previous research.
Detailed Description
Fractures of the proximal femur are a common presentation to the emergency department and are an acutely painful condition. This condition predominantly affects elderly patients who are at risk for delirium and more susceptible to the adverse effects of systemic opioids. Regional anesthesia is an recommended component of pain control for elderly patients with hip fracture. The investigators seek to compare the efficacy of pain control of the Pericapsular Nerve Group (PENG) block with the Fascia Iliaca Compartment Block (FICB). Previous studies have suggested that the PENG block may be superior to the FICB for pain control and results in less thigh motor weakness. The investigators will compare pain control (by difference in mean VAS score at set time points), systemic opioid use (in mean morphine equivalents prior to surgery), and motor function in patients with hip fractures who receive either block in the ED.
Investigators
Matthew Kongkatong, MD
Assistant Professor of Emergency Medicine
University of Virginia
Eligibility Criteria
Inclusion Criteria
- •Proximal femur fracture
Exclusion Criteria
- •refusal to consent
- •hemodynamic instability
- •allergy to local anesthetics
- •severe injury with instability
- •severe medical conditions with instability
Outcomes
Primary Outcomes
Pain score
Time Frame: 6 hours
Median pain score on 0-10 Numeric Rating Scale
Secondary Outcomes
- Opioid use(From block administration until time of surgery or 24 hours if surgery performed >24 hours)