Comparing the pericapsular nerve group block and fascia iliaca block for acute pain management in patients with hip fracture: a randomised clinical trial
Authors' conclusion
The PENG block provides superior analgesia for the first hour after intervention when compared with the infra-inguinal FIB
Study context
- Population
- Adults with acute hip fracture and at least moderate pain in an academic ED92 screened
- Participants
- 64 adults
- Comparison
- Pericapsular nerve group (PENG) block vs infra-inguinal fascia iliaca block (FIB)
- PENGn = 32
- FIBn = 32reference
- Primary endpoint
- Percentage of summed pain intensity difference (%SPID) from VAS pain scores
- Follow-up
- First hour post-block
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
Difference
−24.7%
95% CI −36.6 to −12.7%
P < 0.001
By group
PENG vs FIB
difference −24.7% (95% CI −36.6 to −12.7%); P < 0.001
Secondary outcomes
| Outcome | PENG | FIB | P value |
|---|---|---|---|
| Patients achieving 50% SPID | 24/32 events | 7/32 events | P < 0.001 |
| Patients achieving 33% SPID | 28/32 events | 19/32 events | P = 0.022 |
Rescue opioid dose (MME)
- No significant difference
Safety
Adverse events
- No significant difference in incidence
Original publication
Comparing the pericapsular nerve group block and fascia iliaca block for acute pain management in patients with hip fracture: a randomised clinical trial. Anaesthesia. Published 29 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →