NCT06336460
Not yet recruiting
Not Applicable
Pericapsular Nerve Group (PENG) Block vs. the Fascia Iliaca Compartment (FIC) Block for Patients With Isolated Hip Fractures in the Emergency Department
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Fractures
- Sponsor
- Orange Park Medical Center
- Enrollment
- 60
- Primary Endpoint
- Numeric pain score at 30 minutes
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
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%)
Outcomes
Primary Outcomes
Numeric pain score at 30 minutes
Time Frame: 30 minutes after block placement
Numeric pain score at 60 minutes
Time Frame: 1 hour after block placement
Secondary Outcomes
- Cumulative Morphine Milligram Equivalents in 24 hours after enrollment(24 hours after enrollment)
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