Pain medicine

Comparison of analgesic effect of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block on dynamic pain in patients with hip fractures: a randomized controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

PENG block and SIFICB could effectively provide analgesia for dynamic pain in patients with hip fractures, with no significant difference between the two groups.

Study context

Population
Hip fracture patients aged ≥19 years, ASA physical status 1–4, baseline dynamic pain score ≥4 on NRS, before surgery79 analysed
Participants
80 patients
Comparison
Pericapsular nerve group (PENG) block vs supra-inguinal fascia iliaca compartment block
  • PENG blockn = 40
  • Supra-inguinal fascia iliaca compartment block (SIFICB)n = 40reference
Primary endpoint
Reduction in dynamic pain scores (leg passively raised)
Follow-up
30 min following the peripheral nerve block
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

Reduction in pain score during hip flexion · 30 min

PENG block

3.1

± 2.4

SIFICB

2.9

± 2.5

P = 0.75

Further findings

All other outcomes

No significant differences in any of the outcomes

Original publication

Comparison of analgesic effect of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block on dynamic pain in patients with hip fractures: a randomized controlled trial. Reg Anesth Pain Med. Published 12 June 2024. doi:10.1136/rapm-2024-105627

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