Pericapsular nerve group (PENG) block for early pain management of elderly patients with hip fracture: a single-center double-blind randomized controlled trial
Authors' conclusion
PENG block provided effective analgesia for acute traumatic pain following hip fracture.
Study context
- Population
- Elderly patients with intertrochanteric and neck of femur fractures57 completed
- Participants
- 60 patients
- Comparison
- PENG block vs sham block
- PENGn = 28
- Controln = 29reference
- Primary endpoint
- Dynamic pain score (NRS 0-10)
- Follow-up
- 30 min postblock
Methodological detailsdouble-blind, sham-controlled, single-centre, Postblock systemic analgesia titrated by standardized protocol (acetaminophen, oral morphine or PCA)
- Double-blind
- Sham-controlled
- Single-centre
- Postblock systemic analgesia titrated by standardized protocol (acetaminophen, oral morphine or PCA)
Primary result
As reported in the abstract
PENG
3
median · IQR 0.5–5
Control
5
median · IQR 3–10
P < 0.01
Secondary outcomes
24-hour opioid consumption (oral morphine equivalent dose)
P < 0.05
Median
| Outcome | PENG | Control | P value |
|---|---|---|---|
| Dynamic pain score · 1 hour postblock | 2 (IQR 1–3.25) | — not stated in the abstract | P < 0.01 |
| Dynamic pain score · 3 hours postblock | 2 (IQR 0–5) | — not stated in the abstract | P < 0.05 |
— not stated in the abstract
Original publication
Pericapsular nerve group (PENG) block for early pain management of elderly patients with hip fracture: a single-center double-blind randomized controlled trial. Reg Anesth Pain Med. Published 13 April 2023. doi:10. 1136/ rapm-2022-104117
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