Comparison of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block for preoperative analgesia in elderly patients with hip fracture: A prospective, randomized controlled study
Authors' conclusion
PENG block before spinal anesthesia has a better analgesic effect in elderly patients undergoing hip fracture surgery as compared to sFICB. The success rate of PENG is also significantly greater than that of sFICB.
Study context
- Population
- Elderly patients (≥65 years) with hip fracture undergoing surgery under spinal anaesthesia
- Participants
- 64 patients
- Comparison
- Pericapsular nerve group (PENG) block vs sFICB before spinal anaesthesia
- Primary endpoint
- Analgesic effect of PENG vs sFICB before spinal canal block
Methodological detailssingle-centre, observer-blind, prospective
- Single-centre
- Observer-blind
- Prospective
Primary result
As reported in the abstract
Block success rate
P < 0.05
Further findings
| Outcome | P value |
|---|---|
| NRS pain scoresSignificantly decreased in P | P < 0.05 |
| Time to perform nerve block and spinal anaesthesiaShorter in P | P < 0.05 |
Vital signs, pain relief, morphine consumption within 2 days postoperatively
- No significant difference between the 2 groups
Safety
Adverse reactions
- No significant difference between the 2 groups
Original publication
Comparison of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block for preoperative analgesia in elderly patients with hip fracture: A prospective, randomized controlled study. J Clin Anesth. Published 1 December 2025. doi:10.
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